National Provider Identifier

Tasheeba Mongeon, LPN

Tasheeba Mongeon, 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) 285-5052.

NPI 1649938150Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1649938150
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 01, 2021
Last Updated
December 01, 2021

Practice Location

  • 206 Vinal Ave
  • Rochester, NY 14609-1228

Phone: (585) 285-5052

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1649938150
Entity Type
Individual
Last Name
Mongeon
First Name
Tasheeba
Credential
LPN
Mailing Street Address
206 Vinal Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-1228
Mailing Country
US
Mailing Phone
(585) 285-5052
Practice Street Address
206 Vinal Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-1228
Practice Country
US
Practice Phone
(585) 285-5052
Enumeration Date
December 01, 2021
Last Updated
December 01, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
December 01, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)