National Provider Identifier

Shameal Deanna Grayson, L.P.N

Shameal Deanna Grayson, L.P.N is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 482-1599.

NPI 1518009315Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1518009315
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 12, 2007
Last Updated
July 08, 2007

Practice Location

  • 469 Hazelwood Ter
  • Rochester, NY 14609-5314

Phone: (585) 482-1599

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1518009315
Entity Type
Individual
Last Name
Grayson
First Name
Shameal
Middle Name
Deanna
Credential
L.P.N
Mailing Street Address
469 Hazelwood Ter
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-5314
Mailing Country
US
Mailing Phone
(585) 482-1599
Practice Street Address
469 Hazelwood Ter
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-5314
Practice Country
US
Practice Phone
(585) 482-1599
Enumeration Date
February 12, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)