Provider Demographics
NPI:1477351765
Name:ARMOUR, TANESSA ROCHELLE (LPN)
Entity type:Individual
Prefix:MISS
First Name:TANESSA
Middle Name:ROCHELLE
Last Name:ARMOUR
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W SULLIVAN ST
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-2522
Mailing Address - Country:US
Mailing Address - Phone:716-375-8005
Mailing Address - Fax:716-375-8277
Practice Address - Street 1:410 W SULLIVAN ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-2522
Practice Address - Country:US
Practice Address - Phone:716-375-8005
Practice Address - Fax:716-375-8277
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY291509164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse