National Provider Identifier

Roshaun Wade, LPN

Roshaun Wade, 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) 301-0742.

NPI 1861904732Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1861904732
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 31, 2017
Last Updated
October 31, 2017

Practice Location

  • 637 McCall RD Apt 3
  • Rochester, NY 14616-4322

Phone: (585) 301-0742

Mailing Address

  • PO Box 13561
  • Rochester, NY 14613-0561

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1861904732
Entity Type
Individual
Last Name
Wade
First Name
Roshaun
Name Prefix
MS.
Credential
LPN
Mailing Street Address
PO Box 13561
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14613-0561
Mailing Country
US
Mailing Phone
(585) 301-0742
Practice Street Address
637 McCall RD Apt 3
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-4322
Practice Country
US
Practice Phone
(585) 301-0742
Enumeration Date
October 31, 2017
Last Updated
October 31, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)