National Provider Identifier

Zaria Amil Bodine

Zaria Amil Bodine is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 514-6572.

NPI 1396487054Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1396487054
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 12, 2022
Last Updated
April 12, 2022

Practice Location

  • 87 Ross Brook Dr
  • Rochester, NY 14625-1542

Phone: (585) 514-6572

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1396487054
Entity Type
Individual
Last Name
Bodine
First Name
Zaria
Middle Name
Amil
Mailing Street Address
87 Ross Brook Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-1542
Mailing Country
US
Practice Street Address
87 Ross Brook Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-1542
Practice Country
US
Practice Phone
(585) 514-6572
Enumeration Date
April 12, 2022
Last Updated
April 12, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
April 12, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)