National Provider Identifier

Stephanie Ross

Stephanie Ross is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Fairport, NY and a listed phone number of (585) 737-6109.

NPI 1881044956Fairport, NYLicensed Practical Nurse

Profile Overview

NPI
1881044956
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 20, 2016
Last Updated
June 20, 2016

Practice Location

  • 107 Balsam Ln
  • Fairport, NY 14450-1054

Phone: (585) 737-6109

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1881044956
Entity Type
Individual
Last Name
Ross
First Name
Stephanie
Mailing Street Address
107 Balsam Ln
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1054
Mailing Country
US
Mailing Phone
(585) 737-6109
Practice Street Address
107 Balsam Ln
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1054
Practice Country
US
Practice Phone
(585) 737-6109
Enumeration Date
June 20, 2016
Last Updated
June 20, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)