MEDICARE: ROSE L M VOYARD RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	843766-01	NY

General Provider Information

NPI Number	:	1275225930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE L M VOYARD RN

Provider Business Mailing Address
First Line	:	8 MANCHESTER BLVD
Second Line	:
City	:	WHEATLEY HTS
State	:	NY
Zip	:	11798-1519
Country	:	US
Telephone Number	:	516-807-5528
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 MANCHESTER BLVD
Second Line	:
City	:	WHEATLEY HTS
State	:	NY
Zip	:	11798-1519
Country	:	US
Telephone Number	:	516-807-5528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	05/22/2023

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