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Ms. Tracie Celeste Irvin, LPN
Licensed Practical Nurse in Rochester, New York
NPI 1073659868

Tracie Celeste Irvin is a Licensed Practical Nurse based in Rochester, NY. Tracie Celeste Irvin practices in Rochester, NY and has the professional credentials of LPN. The NPI Number for Tracie Celeste Irvin is 1073659868 and holds a License No. 208170-1 (New York).

The current practice location address for Tracie Celeste Irvin is 69 Enterprise St, Rochester, NY and can be reached out via phone at 585-328-2413 and via fax at 585-328-2413.

Location: 69 Enterprise St, Rochester, NY, 14619-2050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073659868
Provider Name
Tracie Celeste Irvin
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
69 Enterprise St, Rochester, NY, 14619-2050
Phone Number
585-328-2413
Fax Number
585-328-2413
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02291601 05 NY
institution
Provider Business Practice Location Address Details
Address
69 Enterprise St
City
Rochester
State
New York
Zip
14619-2050
Phone Number
585-328-2413
Fax Number
585-328-2413
person
Provider Business Mailing Address Details
Address
69 Enterprise St
City
Rochester
State
New York
Zip
14619-2050
Phone Number
585-328-2413
Fax Number
585-328-2413
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
208170-1 (New York)
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 responsibilities vary among the states.
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