National Provider Identifier

Anita Brown-Roseboro, LPN

Anita Brown-Roseboro, LPN is listed in the NPPES registry with a primary specialty of Nursing Care Agency in Cheektowaga, NY and a listed phone number of (716) 604-7317.

NPI 1821805094Cheektowaga, NYNursing Care Agency

Profile Overview

NPI
1821805094
Provider Type
Individual
Primary Specialty
Nursing Care Agency
Enumeration Date
December 11, 2024
Last Updated
December 11, 2024

Practice Location

  • 1727 Kensington Ave
  • Cheektowaga, NY 14215-1412

Phone: (716) 604-7317

Specialties

  • Nursing Care Agency (251J00000X)
Full Record
NPI
1821805094
Entity Type
Individual
Last Name
Brown-Roseboro
First Name
Anita
Credential
LPN
Mailing Street Address
1727 Kensington Ave
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14215-1412
Mailing Country
US
Mailing Phone
(716) 604-7317
Practice Street Address
1727 Kensington Ave
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14215-1412
Practice Country
US
Practice Phone
(716) 604-7317
Enumeration Date
December 11, 2024
Last Updated
December 11, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
December 11, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nursing Care Agency (251J00000X)