National Provider Identifier

Crystal Shardae Rosser

Crystal Shardae Rosser is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Geneva, NY and a listed phone number of (315) 521-4792.

NPI 1609239805Geneva, NYLicensed Practical Nurse

Profile Overview

NPI
1609239805
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 04, 2016
Last Updated
April 04, 2016

Practice Location

  • 18 Union St
  • Geneva, NY 14456-2331

Phone: (315) 521-4792

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1609239805
Entity Type
Individual
Last Name
Rosser
First Name
Crystal
Middle Name
Shardae
Mailing Street Address
18 Union St
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-2331
Mailing Country
US
Mailing Phone
(315) 521-4792
Practice Street Address
18 Union St
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-2331
Practice Country
US
Practice Phone
(315) 521-4792
Enumeration Date
April 04, 2016
Last Updated
April 04, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)