National Provider Identifier

Shamarra Baxtron

Shamarra Baxtron is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 694-1667.

NPI 1992580336Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1992580336
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 25, 2023
Last Updated
August 25, 2023

Practice Location

  • 273 Pullman Ave
  • Rochester, NY 14615-3426

Phone: (585) 694-1667

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1992580336
Entity Type
Individual
Last Name
Baxtron
First Name
Shamarra
Mailing Street Address
273 Pullman Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14615-3426
Mailing Country
US
Mailing Phone
(585) 694-1667
Practice Street Address
273 Pullman Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-3426
Practice Country
US
Practice Phone
(585) 694-1667
Enumeration Date
August 25, 2023
Last Updated
August 25, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
August 25, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)