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Ms. Desirae Latoya Porter, LPN
Licensed Practical Nurse in Rochester, New York
NPI 1225314644

Desirae Latoya Porter is a Licensed Practical Nurse based in Rochester, NY. Desirae Latoya Porter practices in Rochester, NY and has the professional credentials of LPN. The NPI Number for Desirae Latoya Porter is 1225314644 and holds a License No. 297558-1 (New York).

The current practice location address for Desirae Latoya Porter is 58 Sherwood Ave, Rochester, NY and can be reached out via phone at 585-939-4428.

Location: 58 Sherwood Ave, Rochester, NY, 14619-1110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225314644
Provider Name
Desirae Latoya Porter
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
58 Sherwood Ave, Rochester, NY, 14619-1110
Phone Number
585-939-4428
Fax Number
Provider Enumeration Date
10/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
COS 0602 05 NY
COS 0264 05 NY
COS 0267 05 NY
COS 0265 05 NY
institution
Provider Business Practice Location Address Details
Address
58 Sherwood Ave
City
Rochester
State
New York
Zip
14619-1110
Phone Number
585-939-4428
Fax Number
person
Provider Business Mailing Address Details
Address
58 Sherwood Ave
City
Rochester
State
New York
Zip
14619-1110
Phone Number
585-939-4428
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
297558-1 (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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