National Provider Identifier

Bo Dudley

Bo Dudley is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 721-9885.

NPI 1245114487Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1245114487
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 01, 2025
Last Updated
August 01, 2025

Practice Location

  • 390 South Ave Apt 108
  • Rochester, NY 14620-1060

Phone: (585) 721-9885

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1245114487
Entity Type
Individual
Last Name
Dudley
First Name
Bo
Mailing Street Address
390 South Ave Apt 108
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-1060
Mailing Country
US
Practice Street Address
390 South Ave Apt 108
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1060
Practice Country
US
Practice Phone
(585) 721-9885
Enumeration Date
August 01, 2025
Last Updated
August 01, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
August 01, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)