National Provider Identifier

Shawanna Dealice Perry

Shawanna Dealice Perry is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 510-8002.

NPI 1326831637Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1326831637
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 28, 2025
Last Updated
May 28, 2025

Practice Location

  • 2030 Dewey Ave
  • Rochester, NY 14615-2232

Phone: (585) 510-8002

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1326831637
Entity Type
Individual
Last Name
Perry
First Name
Shawanna
Middle Name
Dealice
Mailing Street Address
2030 Dewey Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14615-2232
Mailing Country
US
Mailing Phone
(585) 510-8002
Practice Street Address
2030 Dewey Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-2232
Practice Country
US
Practice Phone
(585) 510-8002
Enumeration Date
May 28, 2025
Last Updated
May 28, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
May 28, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)