National Provider Identifier
Rose A. Simon, LPN
Rose A. Simon, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ithaca, NY and a listed phone number of (607) 273-0466.
Profile Overview
- NPI
- 1326000985
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 06, 2006
- Last Updated
- February 21, 2012
Practice Location
- 138 Cecil Malone Dr
- Ithaca, NY 14850-5124
Phone: (607) 273-0466
Mailing Address
- 3640 Green RD
- Locke, NY 13092-3273
Specialties
- Licensed Practical Nurse (164W00000X)
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1326000985
- Entity Type
- Individual
- Last Name
- Simon
- First Name
- Rose
- Middle Name
- A.
- Name Prefix
- Mrs.
- Credential
- LPN
- Provider Other Last Name
- Birschbach
- Provider Other First Name
- Rose
- Provider Other Middle Name
- A.
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3640 Green RD
- Mailing City
- Locke
- Mailing State
- NY
- Mailing ZIP Code
- 13092-3273
- Mailing Country
- US
- Mailing Phone
- (315) 224-5001
- Mailing Fax
- (315) 224-5001
- Practice Street Address
- 138 Cecil Malone Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5124
- Practice Country
- US
- Practice Phone
- (607) 273-0466
- Practice Fax
- (607) 273-0466
- Enumeration Date
- April 06, 2006
- Last Updated
- February 21, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X), Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 161413735 (NY), 1841595 (WI)