Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Self

Organization Licensed Practical Nurse · NPI 1861781759

Self is a Licensed Practical Nurse in Rochester, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

29 Heberton Rd
Rochester, NY 14622-2405
Phone: (585) 734-2650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 27300 (NY)

Record details

NPI number1861781759
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andreana Brown — Lpn · (585) 734-2650
Other names Self
NPI enumeratedMarch 31, 2011
Last updated in NPPESMarch 31, 2011
Mailing address29 Heberton Rd, Rochester, NY 14622-2405

Other providers in Rochester