Glen Dale Brady in Rochester - Licensed Practical Nurse
Glen Dale Brady - NPI 1063691533
Glen Dale Brady is a Licensed Practical Nurse in Rochester, New York. Glen Dale Brady practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Glen Dale Brady is 1063691533. The last update date is 2007-10-31.
Glen Dale Brady's current location address is 78 Willmont St, Rochester, New York. You can contact this provider via phone number 5852886598. The mailing address for Glen Dale Brady is 78 Willmont St, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Dale Brady |
|---|---|
| Address | 78 Willmont St, Rochester, New York |
| Phone Number | 5852886598 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.P.N |
NPI Number Detail
| NPI Number | 1063691533 |
|---|---|
| Provider Enumeration Date | 2007-10-31 |
| Last Updated Date | 2007-10-31 |
Provider Mailing Address Detail
| Address | 78 Willmont St |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146093620 |
| Phone Number | 5852886598 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 231182-1 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2206848 | NY | -- |
Post Comment/ Review Below
What is the Glen Dale Brady's unique identification number?
The Glen Dale Brady has been assigned the NPI (National Provider Identifier) Number 1063691533 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Glen Dale Brady located?
The Glen Dale Brady is located at 78 Willmont St, Rochester, NY 146093620.
What is Glen Dale Brady's specialized field of practice, and what is the corresponding taxonomy classification code?
The Glen Dale Brady's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
When was the Glen Dale Brady's 1063691533 issued?
The Glen Dale Brady's 1063691533 was issued on 2007-10-31.
When was the information regarding Glen Dale Brady, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Glen Dale Brady, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-31.