National Provider Identifier

Treana Wall, LPN

Treana Wall, 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) 436-2011.

NPI 1962771683Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1962771683
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 27, 2011
Last Updated
April 11, 2012

Practice Location

  • 96 Stratford Park
  • Rochester, NY 14611-3828

Phone: (585) 436-2011

Mailing Address

  • PO Box 31735
  • Rochester, NY 14603-1735

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1962771683
Entity Type
Individual
Last Name
Wall
First Name
Treana
Credential
LPN
Mailing Street Address
PO Box 31735
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14603-1735
Mailing Country
US
Mailing Phone
(585) 436-2011
Practice Street Address
96 Stratford Park
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-3828
Practice Country
US
Practice Phone
(585) 436-2011
Enumeration Date
December 27, 2011
Last Updated
April 11, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)