National Provider Identifier

Latoya Rashade Granville, LPN

Latoya Rashade Granville, 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) 729-7692.

NPI 1881465268Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1881465268
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 12, 2024
Last Updated
January 12, 2024

Practice Location

  • 197 Magnolia St
  • Rochester, NY 14608-2832

Phone: (585) 729-7692

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1881465268
Entity Type
Individual
Last Name
Granville
First Name
Latoya
Middle Name
Rashade
Credential
LPN
Mailing Street Address
197 Magnolia St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-2832
Mailing Country
US
Mailing Phone
(585) 729-7692
Practice Street Address
197 Magnolia St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-2832
Practice Country
US
Practice Phone
(585) 729-7692
Enumeration Date
January 12, 2024
Last Updated
January 12, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
January 12, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)