Provider Demographics
NPI:1891033353
Name:SESSION, GWENDOLYN YVONNE (LPN)
Entity Type:Individual
Prefix:MS
First Name:GWENDOLYN
Middle Name:YVONNE
Last Name:SESSION
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 90352
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-0352
Mailing Address - Country:US
Mailing Address - Phone:585-764-0637
Mailing Address - Fax:
Practice Address - Street 1:287 ELMDORF AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14619-1821
Practice Address - Country:US
Practice Address - Phone:585-764-0637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270873-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse