Princess J Dennard | Rochester, NY • PECOS Search

Princess J Dennard

Licensed Practical Nurse

Nursing Service Providers

173 Norton Village Ln, Rochester, NY 14609-2436

PECOS Enrollment

Based on the most recent information from CMS, provider Princess J Dennard does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:33 PM.

Profile Details

Provider ID
1629336565
Provider Type
Individual
Full Name
Dennard, Princess J
Credential
LPN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/29/2012
Last Updated
4/29/2012

Contact Information

Practice Location

173 Norton Village Ln, Rochester, NY 14609-2436

Unlisted Fax

Mailing Location

173 Norton Village Ln, Rochester, NY 14609-2436

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 308336 New York