National Provider Identifier

Chanell M Rose, LPN

Chanell M Rose, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 275-2623.

NPI 1366263089Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1366263089
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 24, 2024
Last Updated
October 24, 2024

Practice Location

  • 500 Seneca St
  • Buffalo, NY 14204-1963

Phone: (716) 275-2623

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1366263089
Entity Type
Individual
Last Name
Rose
First Name
Chanell
Middle Name
M
Credential
LPN
Mailing Street Address
500 Seneca St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14204-1963
Mailing Country
US
Mailing Phone
(716) 275-2623
Practice Street Address
500 Seneca St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14204-1963
Practice Country
US
Practice Phone
(716) 275-2623
Enumeration Date
October 24, 2024
Last Updated
October 24, 2024
Sex
Female
Sole Proprietor
No
Certification Date
October 21, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)