National Provider Identifier

Tyvonise Maxey, PLN

Tyvonise Maxey, PLN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 479-0715.

NPI 1699131003Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1699131003
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 14, 2016
Last Updated
January 14, 2016

Practice Location

  • 16 Floyd Dr
  • Rochester, NY 14623-4712

Phone: (585) 479-0715

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1699131003
Entity Type
Individual
Last Name
Maxey
First Name
Tyvonise
Credential
PLN
Mailing Street Address
16 Floyd Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-4712
Mailing Country
US
Mailing Phone
(585) 479-0715
Practice Street Address
16 Floyd Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-4712
Practice Country
US
Practice Phone
(585) 479-0715
Enumeration Date
January 14, 2016
Last Updated
January 14, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)