Individual
MRS. IGA NTHEKETHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
125 LATTIMORE RD STE G110, ROCHESTER, NY 14620-4100
(585) 486-0901
Mailing address
PO BOX 7411009, CHICAGO, IL 60674-3009
(609) 585-1122
(609) 585-0309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
345913
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06471970
—
NY
Enumeration date
02/25/2021
Last updated
02/11/2026
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