National Provider Identifier
Avery Stanton
Avery Stanton is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (315) 729-1374.
Profile Overview
- NPI
- 1871019356
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 16, 2017
- Last Updated
- July 21, 2022
Practice Location
- 139 Horizon Dr
- Rochester, NY 14625-1337
Phone: (315) 729-1374
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1871019356
- Entity Type
- Individual
- Last Name
- Stanton
- First Name
- Avery
- Mailing Street Address
- 139 Horizon Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14625-1337
- Mailing Country
- US
- Mailing Phone
- (315) 729-1374
- Practice Street Address
- 139 Horizon Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14625-1337
- Practice Country
- US
- Practice Phone
- (315) 729-1374
- Enumeration Date
- August 16, 2017
- Last Updated
- July 21, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- July 13, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)