National Provider Identifier
Maisha I Elbert, LPN
Maisha I Elbert, 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) 944-2206.
Profile Overview
- NPI
- 1659934495
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 17, 2019
- Last Updated
- July 19, 2024
Practice Location
- 455 Titus Ave Apt 106
- Rochester, NY 14617-3547
Phone: (585) 944-2206
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1659934495
- Entity Type
- Individual
- Last Name
- Elbert
- First Name
- Maisha
- Middle Name
- I
- Credential
- LPN
- Mailing Street Address
- 455 Titus Ave Apt 106
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-3547
- Mailing Country
- US
- Mailing Phone
- (585) 944-2206
- Practice Street Address
- 455 Titus Ave Apt 106
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-3547
- Practice Country
- US
- Practice Phone
- (585) 944-2206
- Enumeration Date
- April 17, 2019
- Last Updated
- July 19, 2024
- Deactivation Date
- September 16, 2020
- Reactivation Date
- July 19, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 16, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)