National Provider Identifier

Stephanie McCullough, LPN

Stephanie McCullough, 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) 284-9275.

NPI 1821749219Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1821749219
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 17, 2022
Last Updated
January 17, 2022

Practice Location

  • 756 Glide St
  • Rochester, NY 14606-2032

Phone: (585) 284-9275

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1821749219
Entity Type
Individual
Last Name
McCullough
First Name
Stephanie
Credential
LPN
Mailing Street Address
756 Glide St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14606-2032
Mailing Country
US
Practice Street Address
756 Glide St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14606-2032
Practice Country
US
Practice Phone
(585) 284-9275
Enumeration Date
January 17, 2022
Last Updated
January 17, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
January 17, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)