National Provider Identifier

Maryjo Root, LPN

Maryjo Root, 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) 663-5116.

NPI 1992937965Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1992937965
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 10, 2009
Last Updated
August 10, 2009

Practice Location

  • 67 Andover St
  • Rochester, NY 14615-2001

Phone: (585) 663-5116

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1992937965
Entity Type
Individual
Last Name
Root
First Name
Maryjo
Credential
LPN
Mailing Street Address
67 Andover St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14615-2001
Mailing Country
US
Mailing Phone
(585) 663-5116
Practice Street Address
67 Andover St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-2001
Practice Country
US
Practice Phone
(585) 663-5116
Enumeration Date
August 10, 2009
Last Updated
August 10, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)