National Provider Identifier

Deasia McCorker

Deasia McCorker is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 435-3857.

NPI 1760290035Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1760290035
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 19, 2024
Last Updated
December 19, 2024

Practice Location

  • 844 Ridgeway Ave
  • Rochester, NY 14615-3216

Phone: (585) 435-3857

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1760290035
Entity Type
Individual
Last Name
McCorker
First Name
Deasia
Mailing Street Address
844 Ridgeway Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14615-3216
Mailing Country
US
Mailing Phone
(585) 435-3857
Practice Street Address
844 Ridgeway Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-3216
Practice Country
US
Practice Phone
(585) 435-3857
Enumeration Date
December 19, 2024
Last Updated
December 19, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
December 19, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)