National Provider Identifier

Octavia Chanel Brooks-Taylor

Octavia Chanel Brooks-Taylor is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 319-8100.

NPI 1962092882Rochester, NYRegistered Nurse

Profile Overview

NPI
1962092882
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
January 25, 2021
Last Updated
January 25, 2021

Practice Location

  • 115 Chili Ave
  • Rochester, NY 14611-2604

Phone: (585) 319-8100

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1962092882
Entity Type
Individual
Last Name
Brooks-Taylor
First Name
Octavia
Middle Name
Chanel
Mailing Street Address
115 Chili Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-2604
Mailing Country
US
Mailing Phone
(585) 319-8100
Practice Street Address
115 Chili Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-2604
Practice Country
US
Practice Phone
(585) 319-8100
Enumeration Date
January 25, 2021
Last Updated
January 25, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
January 25, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)