National Provider Identifier

Sasha Nicole Reyes

Sasha Nicole Reyes is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 802-3419.

NPI 1619783248Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1619783248
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 09, 2024
Last Updated
December 09, 2024

Practice Location

  • 59 Fernwood Park
  • Rochester, NY 14609-2670

Phone: (585) 802-3419

Mailing Address

  • 59 Fernwood Ave
  • Rochester, NY 14621-5623

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1619783248
Entity Type
Individual
Last Name
Reyes
First Name
Sasha
Middle Name
Nicole
Mailing Street Address
59 Fernwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-5623
Mailing Country
US
Practice Street Address
59 Fernwood Park
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-2670
Practice Country
US
Practice Phone
(585) 802-3419
Enumeration Date
December 09, 2024
Last Updated
December 09, 2024
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
December 09, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)