Tina Elizabeth Chess, LPN

Individual provider Active NPI Licensed Practical Nurse · Henrietta, NY

NPI 1982919551 · NPPES record last updated Aug 8, 2010

Key facts

NPI
1982919551
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
239837-1 (NY)
Practice address
102 Wildherd Dr
Henrietta, NY 14467-9770
Phone
(585) 820-7097
NPI assigned
Aug 8, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
239837-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 239837-1 NY Yes

Addresses

Primary practice location

102 Wildherd Dr
Henrietta, NY 14467-9770

Mailing address

102 Wildherd Dr
Henrietta, NY 14467-9770
Phone (585) 820-7097

Other providers in Henrietta, NY

All providers in Henrietta, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.