National Provider Identifier

Tiera Divers

Tiera Divers is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 505-1959.

NPI 1508733544Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1508733544
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 23, 2025
Last Updated
October 23, 2025

Practice Location

  • 221 Ernst St
  • Rochester, NY 14621-3829

Phone: (585) 505-1959

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1508733544
Entity Type
Individual
Last Name
Divers
First Name
Tiera
Mailing Street Address
221 Ernst St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3829
Mailing Country
US
Practice Street Address
221 Ernst St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3829
Practice Country
US
Practice Phone
(585) 505-1959
Enumeration Date
October 23, 2025
Last Updated
October 23, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
October 23, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)