National Provider Identifier

Theresa M Rosa, LPN

Theresa M Rosa, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Avon, NY and a listed phone number of (585) 226-9408.

NPI 1588986277Avon, NYLicensed Practical Nurse

Profile Overview

NPI
1588986277
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 22, 2010
Last Updated
February 22, 2010

Practice Location

  • 45 High St
  • Apt. 1
  • Avon, NY 14414-1070

Phone: (585) 226-9408

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1588986277
Entity Type
Individual
Last Name
Rosa
First Name
Theresa
Middle Name
M
Credential
LPN
Mailing Street Address
45 High St
Mailing Address Line 2
Apt. 1
Mailing City
Avon
Mailing State
NY
Mailing ZIP Code
14414-1070
Mailing Country
US
Mailing Phone
(585) 226-9408
Practice Street Address
45 High St
Practice Address Line 2
Apt. 1
Practice City
Avon
Practice State
NY
Practice ZIP Code
14414-1070
Practice Country
US
Practice Phone
(585) 226-9408
Enumeration Date
February 22, 2010
Last Updated
February 22, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)