National Provider Identifier
Diamond Deanna Madison, LPN
Diamond Deanna Madison, 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) 313-3058.
Profile Overview
- NPI
- 1295208973
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 06, 2019
- Last Updated
- January 06, 2019
Practice Location
- 390 South Ave Apt 107
- Rochester, NY 14620-1060
Phone: (585) 313-3058
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1295208973
- Entity Type
- Individual
- Last Name
- Madison
- First Name
- Diamond
- Middle Name
- Deanna
- Credential
- LPN
- Mailing Street Address
- 390 South Ave Apt 107
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-1060
- Mailing Country
- US
- Mailing Phone
- (585) 313-3058
- Practice Street Address
- 390 South Ave Apt 107
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1060
- Practice Country
- US
- Practice Phone
- (585) 313-3058
- Enumeration Date
- January 06, 2019
- Last Updated
- January 06, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Licensed Practical Nurse (164W00000X)