National Provider Identifier
Tibett Shanti Maxey
Tibett Shanti Maxey is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 200-0168.
Profile Overview
- NPI
- 1962198432
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- April 17, 2023
- Last Updated
- April 17, 2023
Practice Location
- 61 Greenleaf Mdws
- Rochester, NY 14612-4335
Phone: (585) 200-0168
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1962198432
- Entity Type
- Individual
- Last Name
- Maxey
- First Name
- Tibett
- Middle Name
- Shanti
- Mailing Street Address
- 61 Greenleaf Mdws
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-4335
- Mailing Country
- US
- Mailing Phone
- (585) 200-0168
- Practice Street Address
- 61 Greenleaf Mdws
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-4335
- Practice Country
- US
- Practice Phone
- (585) 200-0168
- Enumeration Date
- April 17, 2023
- Last Updated
- April 17, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 17, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)