National Provider Identifier
Tequila Ivey, LPN
Tequila Ivey, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 503-6255.
Profile Overview
- NPI
- 1811355845
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 04, 2016
- Last Updated
- February 04, 2016
Practice Location
- 1038 Plymouth Ave S
- Rochester, NY 14608-2941
Phone: (585) 503-6255
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1811355845
- Entity Type
- Individual
- Last Name
- Ivey
- First Name
- Tequila
- Credential
- LPN
- Mailing Street Address
- 1038 Plymouth Ave S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-2941
- Mailing Country
- US
- Mailing Phone
- (585) 503-6255
- Practice Street Address
- 1038 Plymouth Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-2941
- Practice Country
- US
- Practice Phone
- (585) 503-6255
- Enumeration Date
- February 04, 2016
- Last Updated
- February 04, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)