National Provider Identifier

Maria Vongphachanh, LPN

Maria Vongphachanh, 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) 208-4414.

NPI 1548576440Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1548576440
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 30, 2010
Last Updated
August 30, 2010

Practice Location

  • 29 Lianne Dr
  • Rochester, NY 14626-5337

Phone: (585) 208-4414

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1548576440
Entity Type
Individual
Last Name
Vongphachanh
First Name
Maria
Credential
LPN
Mailing Street Address
29 Lianne Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-5337
Mailing Country
US
Mailing Phone
(585) 208-4414
Practice Street Address
29 Lianne Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-5337
Practice Country
US
Practice Phone
(585) 208-4414
Enumeration Date
August 30, 2010
Last Updated
August 30, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)