National Provider Identifier

Sandra Gail Southall, RN

Sandra Gail Southall, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 755-7658.

NPI 1336393966Rochester, NYRegistered Nurse

Profile Overview

NPI
1336393966
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
November 10, 2008
Last Updated
May 23, 2019

Practice Location

  • 58 Cedar St
  • Rochester, NY 14611-1731

Phone: (585) 755-7658

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1336393966
Entity Type
Individual
Last Name
Southall
First Name
Sandra
Middle Name
Gail
Name Prefix
Mrs.
Credential
RN
Mailing Street Address
58 Cedar St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-1731
Mailing Country
US
Mailing Phone
(585) 755-7658
Practice Street Address
58 Cedar St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-1731
Practice Country
US
Practice Phone
(585) 755-7658
Enumeration Date
November 10, 2008
Last Updated
May 23, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)