National Provider Identifier
Shenique Avis Russell, LPN
Shenique Avis Russell, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Webster, NY and a listed phone number of (585) 787-2233.
Profile Overview
- NPI
- 1972822336
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 25, 2010
- Last Updated
- November 01, 2017
Practice Location
- 2180 Empire Blvd
- Webster, NY 14580-2029
Phone: (585) 787-2233
Mailing Address
- 31 Grand Ave
- Rochester, NY 14609-6236
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1972822336
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Shenique
- Middle Name
- Avis
- Credential
- LPN
- Mailing Street Address
- 31 Grand Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-6236
- Mailing Country
- US
- Mailing Phone
- (585) 288-0342
- Practice Street Address
- 2180 Empire Blvd
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-2029
- Practice Country
- US
- Practice Phone
- (585) 787-2233
- Enumeration Date
- May 25, 2010
- Last Updated
- November 01, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)