National Provider Identifier

Tiarra Slade, LPN

Tiarra Slade, 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) 309-8294.

NPI 1972883544Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1972883544
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 26, 2011
Last Updated
August 26, 2011

Practice Location

  • 55 Bronson Ct
  • Rochester, NY 14608-2365

Phone: (585) 309-8294

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1972883544
Entity Type
Individual
Last Name
Slade
First Name
Tiarra
Credential
LPN
Mailing Street Address
55 Bronson Ct
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-2365
Mailing Country
US
Mailing Phone
(585) 309-8294
Practice Street Address
55 Bronson Ct
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-2365
Practice Country
US
Practice Phone
(585) 309-8294
Enumeration Date
August 26, 2011
Last Updated
August 26, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)