National Provider Identifier
Tawanna Levelle Black, LPN
Tawanna Levelle Black, 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) 360-5992.
Profile Overview
- NPI
- 1871885327
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 03, 2011
- Last Updated
- July 13, 2011
Practice Location
- 412 Brooks Ave
- Rochester, NY 14619-2317
Phone: (585) 360-5992
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1871885327
- Entity Type
- Individual
- Last Name
- Black
- First Name
- Tawanna
- Middle Name
- Levelle
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 412 Brooks Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-2317
- Mailing Country
- US
- Mailing Phone
- (585) 360-5992
- Practice Street Address
- 412 Brooks Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-2317
- Practice Country
- US
- Practice Phone
- (585) 360-5992
- Enumeration Date
- May 03, 2011
- Last Updated
- July 13, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 286202 (NY, LPN)