Paulette Rena Roque in Canastota - Licensed Practical Nurse
Paulette Rena Roque - NPI 1750426508
Paulette Rena Roque is a Licensed Practical Nurse in Canastota, New York. Paulette Rena Roque practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Paulette Rena Roque is 1750426508. The last update date is 2007-07-08.
Paulette Rena Roque's current location address is 113 Caroline St, Canastota, New York. You can contact this provider via phone number 3158755024. The mailing address for Paulette Rena Roque is 113 Caroline St, Canastota, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paulette Rena Roque |
|---|---|
| Address | 113 Caroline St, Canastota, New York |
| Phone Number | 3158755024 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1750426508 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 113 Caroline St |
|---|---|
| City | Canastota |
| State | New York (NY) |
| Post Code | 130321204 |
| Phone Number | 3158755024 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 215367-1 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1999182 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Paulette Rena Roque?
The Paulette Rena Roque has been issued the NPI (National Provider Identifier) 1750426508 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Paulette Rena Roque's physical address?
The Paulette Rena Roque is physically located at 113 Caroline St, in the city of Canastota, NY, with the postal code 130321204.
What is Paulette Rena Roque's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Paulette Rena Roque is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.
On what date did the Paulette Rena Roque receive its 1750426508 assignment from the Centers for Medicare & Medicaid Services?
The Paulette Rena Roque was assigned its 1750426508 by the Centers for Medicare & Medicaid Services on 2007-02-20.
When was the Paulette Rena Roque's information last updated?
The Paulette Rena Roque's information was last updated on 2007-07-08.