National Provider Identifier

Bridgette Ellenwood, LPN

Bridgette Ellenwood, 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) 235-3430.

NPI 1699035287Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1699035287
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 17, 2012
Last Updated
May 17, 2012

Practice Location

  • 22 Fairview Ave
  • Rochester, NY 14619-2216

Phone: (585) 235-3430

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1699035287
Entity Type
Individual
Last Name
Ellenwood
First Name
Bridgette
Credential
LPN
Mailing Street Address
22 Fairview Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-2216
Mailing Country
US
Mailing Phone
(585) 235-3430
Practice Street Address
22 Fairview Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-2216
Practice Country
US
Practice Phone
(585) 235-3430
Enumeration Date
May 17, 2012
Last Updated
May 17, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)