National Provider Identifier
Desirae Latoya Porter, L.P.N.
Desirae Latoya Porter, L.P.N. is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 939-4428.
Profile Overview
- NPI
- 1225314644
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 31, 2011
- Last Updated
- October 31, 2011
Practice Location
- 58 Sherwood Ave
- Rochester, NY 14619-1110
Phone: (585) 939-4428
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1225314644
- Entity Type
- Individual
- Last Name
- Porter
- First Name
- Desirae
- Middle Name
- Latoya
- Name Prefix
- MS.
- Credential
- L.P.N.
- Mailing Street Address
- 58 Sherwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-1110
- Mailing Country
- US
- Mailing Phone
- (585) 939-4428
- Practice Street Address
- 58 Sherwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-1110
- Practice Country
- US
- Practice Phone
- (585) 939-4428
- Enumeration Date
- October 31, 2011
- Last Updated
- October 31, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- COS 0602 (NY), COS 0264 (NY), COS 0267 (NY), COS 0265 (NY)