National Provider Identifier
Latayna Portis, LPN
Latayna Portis, 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) 642-3560.
Profile Overview
- NPI
- 1437798311
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 24, 2019
- Last Updated
- December 24, 2019
Practice Location
- 4700 Dewey Ave Apt 1
- Rochester, NY 14612-2421
Phone: (585) 642-3560
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1437798311
- Entity Type
- Individual
- Last Name
- Portis
- First Name
- Latayna
- Credential
- LPN
- Mailing Street Address
- 4700 Dewey Ave Apt 1
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-2421
- Mailing Country
- US
- Mailing Phone
- (585) 642-3560
- Practice Street Address
- 4700 Dewey Ave Apt 1
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-2421
- Practice Country
- US
- Practice Phone
- (585) 642-3560
- Enumeration Date
- December 24, 2019
- Last Updated
- December 24, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- December 24, 2019
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)