National Provider Identifier

Illonda Chereese McCants

Illonda Chereese McCants is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (347) 543-0291.

NPI 1750678165Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1750678165
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 06, 2011
Last Updated
April 25, 2018

Practice Location

  • 338 Bernard St
  • Rochester, NY 14621-4825

Phone: (347) 543-0291

Specialties

  • Licensed Practical Nurse (164W00000X)
  • General Practice Registered Nurse (163WG0000X)
Full Record
NPI
1750678165
Entity Type
Individual
Last Name
McCants
First Name
Illonda
Middle Name
Chereese
Name Prefix
Mrs.
Provider Other Last Name
McCants
Provider Other First Name
Illonda
Provider Other Middle Name
Chereese
Provider Other Name Prefix Text
Mrs.
Provider Other Credential Text
RN
Provider Other Last Name Type Code
2
Mailing Street Address
338 Bernard St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-4825
Mailing Country
US
Mailing Phone
(347) 543-0291
Mailing Fax
(585) 266-7733
Practice Street Address
338 Bernard St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-4825
Practice Country
US
Practice Phone
(347) 543-0291
Practice Fax
(585) 266-7733
Enumeration Date
July 06, 2011
Last Updated
April 25, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X), General Practice Registered Nurse (163WG0000X)