MARCILLA ANN M OMBROG LPN
NPI 1770186728
Licensed Practical Nurse in Penfield, NY

Active since November 20, 2020
1066 WHALEN RD, PENFIELD, NY 14526(585) 704-5455 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About MARCILLA ANN OMBROG

This page provides the complete NPI Profile along with additional information for Marcilla Ann Ombrog, a provider established in Penfield, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1770186728 assigned on November 2020. The practitioner's primary taxonomy code is 164W00000X with license number 336985 (NY). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1770186728 Verify this NPI
Provider Name
MARCILLA ANN M OMBROG LPN
Gender
Female
Entity Type
Individual
Location Address
1066 WHALEN RD PENFIELD, NY 14526
Location Phone
(585) 704-5455
Mailing Address
1066 WHALEN RD PENFIELD, NY 14526
Mailing Phone
(585) 704-5455
Is Sole Proprietor?
No
Enumeration Date
11-20-2020
Last Update Date
11-20-2020
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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.
336985
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 1770186728, enumerated as an "individual" on November 20, 2020.

The provider is located at 1066 WHALEN RD PENFIELD, NY 14526 and the phone number is (585) 704-5455.

Licensed Practical Nurse with taxonomy code 164W00000X.