National Provider Identifier

Shetara Nadia Denise Ross, LPN

Shetara Nadia Denise Ross, 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) 613-8777.

NPI 1366005134Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1366005134
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 17, 2019
Last Updated
April 17, 2019

Practice Location

  • 2055 E Henrietta RD Apt 3
  • Rochester, NY 14623-3949

Phone: (585) 613-8777

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1366005134
Entity Type
Individual
Last Name
Ross
First Name
Shetara
Middle Name
Nadia Denise
Credential
LPN
Mailing Street Address
2055 E Henrietta RD Apt 3
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-3949
Mailing Country
US
Mailing Phone
(585) 613-8777
Practice Street Address
2055 E Henrietta RD Apt 3
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-3949
Practice Country
US
Practice Phone
(585) 613-8777
Enumeration Date
April 17, 2019
Last Updated
April 17, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)