National Provider Identifier

Edith Tenetha Smith

Edith Tenetha Smith is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 503-0951.

NPI 1649052010Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1649052010
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 19, 2023
Last Updated
October 19, 2023

Practice Location

  • 606 Carter St
  • Rochester, NY 14621-2618

Phone: (585) 503-0951

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1649052010
Entity Type
Individual
Last Name
Smith
First Name
Edith
Middle Name
Tenetha
Mailing Street Address
606 Carter St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-2618
Mailing Country
US
Mailing Phone
(585) 503-0951
Practice Street Address
606 Carter St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2618
Practice Country
US
Practice Phone
(585) 503-0951
Enumeration Date
October 19, 2023
Last Updated
October 19, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
October 19, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)