National Provider Identifier

Anastasia Kimberly Poles, LPN

Anastasia Kimberly Poles, 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) 635-3389.

NPI 1972332856Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1972332856
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 30, 2024
Last Updated
July 30, 2024

Practice Location

  • 1341 Clifford Ave
  • Rochester, NY 14621-5638

Phone: (585) 635-3389

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1972332856
Entity Type
Individual
Last Name
Poles
First Name
Anastasia
Middle Name
Kimberly
Credential
LPN
Mailing Street Address
1341 Clifford Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-5638
Mailing Country
US
Mailing Phone
(585) 635-3389
Practice Street Address
1341 Clifford Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-5638
Practice Country
US
Practice Phone
(585) 635-3389
Enumeration Date
July 30, 2024
Last Updated
July 30, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
July 30, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)