National Provider Identifier

Grant Avery

Grant Avery is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 217-3524.

NPI 1538572292Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1538572292
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 10, 2014
Last Updated
June 10, 2014

Practice Location

  • 900 Genesee Park Blvd
  • Rochester, NY 14619-1607

Phone: (585) 217-3524

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1538572292
Entity Type
Individual
Last Name
Avery
First Name
Grant
Name Prefix
Mr.
Mailing Street Address
900 Genesee Park Blvd
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1607
Mailing Country
US
Mailing Phone
(585) 217-3524
Practice Street Address
900 Genesee Park Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1607
Practice Country
US
Practice Phone
(585) 217-3524
Enumeration Date
June 10, 2014
Last Updated
June 10, 2014
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)