National Provider Identifier

Bernice A Ajavon, LPN

Bernice A Ajavon, 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) 750-1191.

NPI 1972712305Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1972712305
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 22, 2007
Last Updated
July 09, 2007

Practice Location

  • 778 Winona Blvd
  • Rochester, NY 14617-2961

Phone: (585) 750-1191

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1972712305
Entity Type
Individual
Last Name
Ajavon
First Name
Bernice
Middle Name
A
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
778 Winona Blvd
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-2961
Mailing Country
US
Mailing Phone
(585) 750-1191
Practice Street Address
778 Winona Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14617-2961
Practice Country
US
Practice Phone
(585) 750-1191
Enumeration Date
May 22, 2007
Last Updated
July 09, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
02069221 (NY)