National Provider Identifier
Marcilla Ann M Ombrog, LPN
Marcilla Ann M Ombrog, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Penfield, NY and a listed phone number of (585) 704-5455.
Profile Overview
- NPI
- 1770186728
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 20, 2020
- Last Updated
- November 20, 2020
Practice Location
- 1066 Whalen RD
- Penfield, NY 14526-1257
Phone: (585) 704-5455
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1770186728
- Entity Type
- Individual
- Last Name
- Ombrog
- First Name
- Marcilla Ann
- Middle Name
- M
- Credential
- LPN
- Mailing Street Address
- 1066 Whalen RD
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-1257
- Mailing Country
- US
- Mailing Phone
- (585) 704-5455
- Practice Street Address
- 1066 Whalen RD
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-1257
- Practice Country
- US
- Practice Phone
- (585) 704-5455
- Enumeration Date
- November 20, 2020
- Last Updated
- November 20, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 20, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)