National Provider Identifier

Charmeka Swan

Charmeka Swan is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 434-8742.

NPI 1215544820Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1215544820
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 28, 2020
Last Updated
September 28, 2020

Practice Location

  • 120 N Glen Dr
  • Rochester, NY 14626-1425

Phone: (585) 434-8742

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1215544820
Entity Type
Individual
Last Name
Swan
First Name
Charmeka
Name Prefix
MS.
Mailing Street Address
120 N Glen Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-1425
Mailing Country
US
Mailing Phone
(585) 434-8742
Practice Street Address
120 N Glen Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-1425
Practice Country
US
Practice Phone
(585) 434-8742
Enumeration Date
September 28, 2020
Last Updated
September 28, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
September 25, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)