National Provider Identifier

Mandy Carroll, LPN

Mandy Carroll, 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) 797-8964.

NPI 1255770616Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1255770616
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 19, 2013
Last Updated
June 19, 2013

Practice Location

  • 415 Magee Ave
  • Rochester, NY 14613-1011

Phone: (585) 797-8964

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1255770616
Entity Type
Individual
Last Name
Carroll
First Name
Mandy
Credential
LPN
Mailing Street Address
415 Magee Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14613-1011
Mailing Country
US
Mailing Phone
(585) 797-8964
Practice Street Address
415 Magee Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14613-1011
Practice Country
US
Practice Phone
(585) 797-8964
Enumeration Date
June 19, 2013
Last Updated
June 19, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)