National Provider Identifier

Tracy A Avery, LPN

Tracy A Avery, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Penfield, NY and a listed phone number of (585) 730-0381.

NPI 1922579820Penfield, NYLicensed Practical Nurse

Profile Overview

NPI
1922579820
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 17, 2018
Last Updated
December 17, 2018

Practice Location

  • 1931 Harris RD
  • Penfield, NY 14526-1821

Phone: (585) 730-0381

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1922579820
Entity Type
Individual
Last Name
Avery
First Name
Tracy
Middle Name
A
Credential
LPN
Mailing Street Address
1931 Harris RD
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-1821
Mailing Country
US
Practice Street Address
1931 Harris RD
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-1821
Practice Country
US
Practice Phone
(585) 730-0381
Enumeration Date
December 17, 2018
Last Updated
December 17, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)