National Provider Identifier

Mark David Anderson, LPN

Mark David Anderson, 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) 737-2607.

NPI 1356732887Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1356732887
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 05, 2015
Last Updated
February 05, 2015

Practice Location

  • 227 Island Cottage RD.
  • Rochester, NY 14612-3627

Phone: (585) 737-2607

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1356732887
Entity Type
Individual
Last Name
Anderson
First Name
Mark
Middle Name
David
Name Prefix
Mr.
Credential
LPN
Mailing Street Address
227 Island Cottage RD.
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-3627
Mailing Country
US
Mailing Phone
(585) 737-2607
Practice Street Address
227 Island Cottage RD.
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-3627
Practice Country
US
Practice Phone
(585) 737-2607
Enumeration Date
February 05, 2015
Last Updated
February 05, 2015
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)