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Ms. Paulette Rena Roque
Licensed Practical Nurse in Canastota, New York
NPI 1750426508

Paulette Rena Roque is a Licensed Practical Nurse based in Canastota, NY. Paulette Rena Roque practices in Canastota, NY. The NPI Number for Paulette Rena Roque is 1750426508 and holds a License No. 215367-1 (New York).

The current practice location address for Paulette Rena Roque is 113 Caroline St, Canastota, NY and can be reached out via phone at 315-875-5024.

Location: 113 Caroline St, Canastota, NY, 13032-1204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750426508
Provider Name
Paulette Rena Roque
Credential
Provider Entity Type
Individual
Gender
Female
Address
113 Caroline St, Canastota, NY, 13032-1204
Phone Number
315-875-5024
Fax Number
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01999182 05 NY
institution
Provider Business Practice Location Address Details
Address
113 Caroline St
City
Canastota
State
New York
Zip
13032-1204
Phone Number
315-875-5024
Fax Number
person
Provider Business Mailing Address Details
Address
113 Caroline St
City
Canastota
State
New York
Zip
13032-1204
Phone Number
315-875-5024
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
215367-1 (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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