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

Individual provider Licensed Practical Nurse · NPI 1952600330

Chittadaphone Phouthavong, RN is a Licensed Practical Nurse in Rochester, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

111 Westfall Rd
Rochester, NY 14620-4647
Phone: (585) 353-9305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 37 Maple Valley Cres, Rochester, NY 14623-5209 — (585) 755-9465

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 777030 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 287928 (NY)

Record details

NPI number1952600330
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedMarch 24, 2011
Last updated in NPPESAugust 19, 2019

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