National Provider Identifier

Aniya Simone Holley, LPN

Aniya Simone Holley, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 301-3633.

NPI 1255061065Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1255061065
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 14, 2022
Last Updated
June 14, 2022

Practice Location

  • 110 Audino Ln Apt B
  • Rochester, NY 14624-5607

Phone: (585) 301-3633

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1255061065
Entity Type
Individual
Last Name
Holley
First Name
Aniya
Middle Name
Simone
Credential
LPN
Mailing Street Address
110 Audino Ln Apt B
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-5607
Mailing Country
US
Practice Street Address
110 Audino Ln Apt B
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-5607
Practice Country
US
Practice Phone
(585) 301-3633
Enumeration Date
June 14, 2022
Last Updated
June 14, 2022
Sex
Female
Sole Proprietor
No
Certification Date
June 14, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)