National Provider Identifier

Sharonda Broadwater, LPN

Sharonda Broadwater, 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) 467-5996.

NPI 1598947863Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1598947863
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 28, 2007
Last Updated
December 26, 2007

Practice Location

  • 126 Rodessa RD
  • Rochester, NY 14616-4606

Phone: (585) 467-5996

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1598947863
Entity Type
Individual
Last Name
Broadwater
First Name
Sharonda
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
126 Rodessa RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-4606
Mailing Country
US
Mailing Phone
(585) 467-5996
Practice Street Address
126 Rodessa RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-4606
Practice Country
US
Practice Phone
(585) 467-5996
Enumeration Date
November 28, 2007
Last Updated
December 26, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
02868124 (NY)