Provider Demographics
NPI:1083116545
Name:WROBEH, CAROLINE NEEKUMOH I (LPN)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:NEEKUMOH
Last Name:WROBEH
Suffix:I
Gender:M
Credentials:LPN
Other - Prefix:MRS
Other - First Name:CAROLINE
Other - Middle Name:NEEKUMOH
Other - Last Name:WROBEH
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:15 POWERS LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-4407
Mailing Address - Country:US
Mailing Address - Phone:585-957-1821
Mailing Address - Fax:
Practice Address - Street 1:15 POWERS
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-1462
Practice Address - Country:US
Practice Address - Phone:585-957-1821
Practice Address - Fax:585-957-1821
Is Sole Proprietor?:No
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY326350164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse