National Provider Identifier

Danetta Watkins

Danetta Watkins is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 498-5280.

NPI 1225765167Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1225765167
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 02, 2022
Last Updated
August 02, 2022

Practice Location

  • 379 Columbia Ave
  • Rochester, NY 14611-3637

Phone: (585) 498-5280

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1225765167
Entity Type
Individual
Last Name
Watkins
First Name
Danetta
Mailing Street Address
379 Columbia Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-3637
Mailing Country
US
Mailing Phone
(585) 498-5280
Practice Street Address
379 Columbia Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-3637
Practice Country
US
Practice Phone
(585) 498-5280
Enumeration Date
August 02, 2022
Last Updated
August 02, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
August 02, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)