Provider Demographics
NPI:1639549595
Name:DAY, EUNICE ANN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:EUNICE
Middle Name:ANN
Last Name:DAY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:EUNICE
Other - Middle Name:ANN
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:744 SPENCERPORT RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-4820
Mailing Address - Country:US
Mailing Address - Phone:585-414-5453
Mailing Address - Fax:
Practice Address - Street 1:744 SPENCERPORT RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14606-4820
Practice Address - Country:US
Practice Address - Phone:585-414-5453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-04
Last Update Date:2015-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272838164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse