National Provider Identifier

Keyana Ravenell

Keyana Ravenell is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 203-7497.

NPI 1750104345Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1750104345
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 04, 2024
Last Updated
November 04, 2024

Practice Location

  • 155 Canal Landing Blvd Apt 636
  • Rochester, NY 14626-5118

Phone: (585) 203-7497

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1750104345
Entity Type
Individual
Last Name
Ravenell
First Name
Keyana
Mailing Street Address
155 Canal Landing Blvd Apt 636
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-5118
Mailing Country
US
Mailing Phone
(585) 203-7497
Practice Street Address
155 Canal Landing Blvd Apt 636
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-5118
Practice Country
US
Practice Phone
(585) 203-7497
Enumeration Date
November 04, 2024
Last Updated
November 04, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
November 04, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)