National Provider Identifier
Tanqua Shavon Watson, LPN
Tanqua Shavon Watson, 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) 713-3897.
Profile Overview
- NPI
- 1518377035
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 06, 2014
- Last Updated
- May 06, 2014
Practice Location
- 128 Bonesteel St
- Rochester, NY 14615-2006
Phone: (585) 713-3897
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1518377035
- Entity Type
- Individual
- Last Name
- Watson
- First Name
- Tanqua
- Middle Name
- Shavon
- Credential
- LPN
- Mailing Street Address
- 128 Bonesteel St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-2006
- Mailing Country
- US
- Mailing Phone
- (585) 713-3897
- Practice Street Address
- 128 Bonesteel St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615-2006
- Practice Country
- US
- Practice Phone
- (585) 713-3897
- Enumeration Date
- May 06, 2014
- Last Updated
- May 06, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)