National Provider Identifier

Ardis E Israel, LPN

Ardis E Israel, 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) 286-8845.

NPI 1821720517Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1821720517
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 30, 2022
Last Updated
June 30, 2022

Practice Location

  • 45 McEwen RD
  • Rochester, NY 14616-3939

Phone: (585) 286-8845

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1821720517
Entity Type
Individual
Last Name
Israel
First Name
Ardis
Middle Name
E
Name Prefix
Mr.
Credential
LPN
Mailing Street Address
45 McEwen RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-3939
Mailing Country
US
Mailing Phone
(585) 286-8845
Practice Street Address
45 McEwen RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-3939
Practice Country
US
Practice Phone
(585) 286-8845
Enumeration Date
June 30, 2022
Last Updated
June 30, 2022
Sex
Male
Sole Proprietor
Yes
Certification Date
June 30, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)