National Provider Identifier

Tashae Moxley, LPN

Tashae Moxley, 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) 309-8939.

NPI 1497565774Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1497565774
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 09, 2025
Last Updated
January 09, 2025

Practice Location

  • 28 Normandy Ave
  • Rochester, NY 14619-1130

Phone: (585) 309-8939

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1497565774
Entity Type
Individual
Last Name
Moxley
First Name
Tashae
Credential
LPN
Mailing Street Address
28 Normandy Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1130
Mailing Country
US
Practice Street Address
28 Normandy Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1130
Practice Country
US
Practice Phone
(585) 309-8939
Enumeration Date
January 09, 2025
Last Updated
January 09, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
January 09, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)