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

MS. Paulette Rena Roque

Individual provider Licensed Practical Nurse · NPI 1750426508

MS. Paulette Rena Roque is a Licensed Practical Nurse in Canastota, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

113 Caroline St
Canastota, NY 13032-1204
Phone: (315) 875-5024
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 215367-1 (NY)

Record details

NPI number1750426508
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJuly 8, 2007
Mailing address113 Caroline St, Canastota, NY 13032-1204

Other providers in Canastota