National Provider Identifier

Aster Yemane Menguistab

Aster Yemane Menguistab is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 441-5310.

NPI 1255932471Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1255932471
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 04, 2020
Last Updated
November 04, 2020

Practice Location

  • 111 Rexford St
  • Rochester, NY 14621-2605

Phone: (585) 441-5310

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1255932471
Entity Type
Individual
Last Name
Menguistab
First Name
Aster
Middle Name
Yemane
Mailing Street Address
111 Rexford St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-2605
Mailing Country
US
Mailing Phone
(585) 441-5310
Practice Street Address
111 Rexford St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2605
Practice Country
US
Practice Phone
(585) 441-5310
Enumeration Date
November 04, 2020
Last Updated
November 04, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
November 04, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)