National Provider Identifier

Tahira Womack

Tahira Womack is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 851-1697.

NPI 1720527492Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1720527492
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 15, 2017
Last Updated
February 15, 2017

Practice Location

  • 100 Huntington Park
  • Rochester, NY 14621-5210

Phone: (585) 851-1697

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1720527492
Entity Type
Individual
Last Name
Womack
First Name
Tahira
Mailing Street Address
100 Huntington Park
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-5210
Mailing Country
US
Practice Street Address
100 Huntington Park
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-5210
Practice Country
US
Practice Phone
(585) 851-1697
Enumeration Date
February 15, 2017
Last Updated
February 15, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)