National Provider Identifier

Tatanisha Monique McClary, LPN

Tatanisha Monique McClary, 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) 201-4007.

NPI 1275095861Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1275095861
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 02, 2019
Last Updated
April 02, 2019

Practice Location

  • 57 Arbutus St Apt 2
  • Rochester, NY 14609-3501

Phone: (585) 201-4007

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1275095861
Entity Type
Individual
Last Name
McClary
First Name
Tatanisha
Middle Name
Monique
Credential
LPN
Mailing Street Address
57 Arbutus St Apt 2
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-3501
Mailing Country
US
Mailing Phone
(585) 201-4007
Practice Street Address
57 Arbutus St Apt 2
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-3501
Practice Country
US
Practice Phone
(585) 201-4007
Enumeration Date
April 02, 2019
Last Updated
April 02, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)