National Provider Identifier

Charmize Dishane Thomas, RN

Charmize Dishane Thomas, RN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 360-9202.

NPI 1487954970Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1487954970
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 29, 2010
Last Updated
September 11, 2025

Practice Location

  • 41 Santee St
  • Rochester, NY 14606-2505

Phone: (585) 360-9202

Mailing Address

  • 145 Weyl St
  • Rochester, NY 14621-3617

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1487954970
Entity Type
Individual
Last Name
Thomas
First Name
Charmize
Middle Name
Dishane
Credential
RN
Provider Other Last Name
Cook
Provider Other First Name
Charmize
Provider Other Middle Name
Dishane
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
1
Mailing Street Address
145 Weyl St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3617
Mailing Country
US
Mailing Phone
(585) 360-9202
Practice Street Address
41 Santee St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14606-2505
Practice Country
US
Practice Phone
(585) 360-9202
Enumeration Date
October 29, 2010
Last Updated
September 11, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
September 13, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
02719473 (NY)