National Provider Identifier

Latasha Lynn Henry, LPN

Latasha Lynn Henry, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (757) 672-4251.

NPI 1861262545Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1861262545
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 04, 2024
Last Updated
January 04, 2024

Practice Location

  • 40 Terrace Park
  • Rochester, NY 14619-2417

Phone: (757) 672-4251

Mailing Address

  • 25 Oconnor RD
  • Fairport, NY 14450-1327

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1861262545
Entity Type
Individual
Last Name
Henry
First Name
Latasha
Middle Name
Lynn
Credential
LPN
Mailing Street Address
25 Oconnor RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1327
Mailing Country
US
Mailing Phone
(585) 377-4660
Practice Street Address
40 Terrace Park
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-2417
Practice Country
US
Practice Phone
(757) 672-4251
Enumeration Date
January 04, 2024
Last Updated
January 04, 2024
Sex
Female
Sole Proprietor
No
Certification Date
January 04, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)