DIAMOND BOSTICK LPN
NPI 1013505403
Licensed Practical Nurse in Rochester, NY

Active since January 02, 2021
664 GRAND AVE, ROCHESTER, NY 14609(585) 957-6896 Get Directions Write a Review

NPPES record last updated: January 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About DIAMOND BOSTICK

This page provides the complete NPI Profile along with additional information for Diamond Bostick, a provider established in Rochester, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1013505403 assigned on January 2021. The practitioner's primary taxonomy code is 164W00000X with license number 338211 (NY). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1013505403 Verify this NPI
Provider Name
DIAMOND BOSTICK LPN
Gender
Female
Entity Type
Individual
Location Address
664 GRAND AVE ROCHESTER, NY 14609
Location Phone
(585) 957-6896
Mailing Address
664 GRAND AVE ROCHESTER, NY 14609
Is Sole Proprietor?
No
Enumeration Date
01-02-2021
Last Update Date
01-02-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
338211
License State
NY
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013505403, enumerated as an "individual" on January 02, 2021.

The provider is located at 664 GRAND AVE ROCHESTER, NY 14609 and the phone number is (585) 957-6896.

Licensed Practical Nurse with taxonomy code 164W00000X.