National Provider Identifier

Tanisha Clara Spencer, LPN

Tanisha Clara Spencer, 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) 333-2686.

NPI 1457944753Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1457944753
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 17, 2021
Last Updated
February 17, 2021

Practice Location

  • 170 Traver Cir
  • Rochester, NY 14609-2310

Phone: (585) 333-2686

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1457944753
Entity Type
Individual
Last Name
Spencer
First Name
Tanisha
Middle Name
Clara
Name Prefix
MS.
Credential
LPN
Mailing Street Address
170 Traver Cir
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-2310
Mailing Country
US
Mailing Phone
(585) 333-2686
Practice Street Address
170 Traver Cir
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-2310
Practice Country
US
Practice Phone
(585) 333-2686
Enumeration Date
February 17, 2021
Last Updated
February 17, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
February 17, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)