National Provider Identifier

Lataisha Glover

Lataisha Glover is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 766-1309.

NPI 1912626920Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1912626920
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 23, 2022
Last Updated
August 23, 2022

Practice Location

  • 227 Jefferson Ave
  • Rochester, NY 14611-3228

Phone: (585) 766-1309

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1912626920
Entity Type
Individual
Last Name
Glover
First Name
Lataisha
Mailing Street Address
227 Jefferson Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-3228
Mailing Country
US
Mailing Phone
(585) 766-1309
Practice Street Address
227 Jefferson Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-3228
Practice Country
US
Practice Phone
(585) 766-1309
Enumeration Date
August 23, 2022
Last Updated
August 23, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
August 23, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)