National Provider Identifier

Agnes J Muttay

Agnes J Muttay is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 224-6919.

NPI 1578041927Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1578041927
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 29, 2018
Last Updated
November 02, 2023

Practice Location

  • 30 Inglewood Dr
  • Rochester, NY 14619-1402

Phone: (585) 224-6919

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1578041927
Entity Type
Individual
Last Name
Muttay
First Name
Agnes
Middle Name
J
Mailing Street Address
30 Inglewood Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1402
Mailing Country
US
Mailing Phone
(585) 224-6919
Practice Street Address
30 Inglewood Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1402
Practice Country
US
Practice Phone
(585) 224-6919
Enumeration Date
July 29, 2018
Last Updated
November 02, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
November 02, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)