NPI 1003061839

Trudy Johnette Mack, LPN

Practitioner Licensed Practical Nurse Rochester, NY

Practice location

Address: 165 N. Water Street APT. 205, Rochester, NY 14604
Phone: (585) 286-0097

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 284904 (NY)

Other Licensed Practical Nurse providers in New York →

Registry record

NPI: 1003061839
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2008
Record last updated: 20 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.