National Provider Identifier

Shaniqua Charlene Porter, LPN

Shaniqua Charlene Porter, 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) 743-2182.

NPI 1720446651Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1720446651
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 06, 2016
Last Updated
February 06, 2016

Practice Location

  • 282 Clay Ave
  • Rochester, NY 14613-1122

Phone: (585) 743-2182

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1720446651
Entity Type
Individual
Last Name
Porter
First Name
Shaniqua
Middle Name
Charlene
Credential
LPN
Mailing Street Address
282 Clay Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14613-1122
Mailing Country
US
Mailing Phone
(585) 743-2182
Practice Street Address
282 Clay Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14613-1122
Practice Country
US
Practice Phone
(585) 743-2182
Enumeration Date
February 06, 2016
Last Updated
February 06, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)