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Mr. Charles Thaddious Taylor JR., LPN
Licensed Practical Nurse in Rochester, New York
NPI 1730786070

Charles Thaddious Taylor JR. is a Licensed Practical Nurse based in Rochester, NY. Charles Thaddious Taylor JR. practices in Rochester, NY and has the professional credentials of LPN. The NPI Number for Charles Thaddious Taylor JR. is 1730786070 and holds a License No. 339455-01 (New York).

The current practice location address for Charles Thaddious Taylor JR. is 115 Chili Ave, Rochester, NY and can be reached out via phone at 585-351-1003.

Location: 115 Chili Ave, Rochester, NY, 14611-2604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730786070
Provider Name
Charles Thaddious Taylor JR.
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
115 Chili Ave, Rochester, NY, 14611-2604
Phone Number
585-351-1003
Fax Number
Provider Enumeration Date
10/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
115 Chili Ave
City
Rochester
State
New York
Zip
14611-2604
Phone Number
585-351-1003
Fax Number
person
Provider Business Mailing Address Details
Address
115 Chili Ave
City
Rochester
State
New York
Zip
14611-2604
Phone Number
585-351-1003
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
339455-01 (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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