National Provider Identifier

Rachel Fanning

Rachel Fanning is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (315) 719-6012.

NPI 1013317759Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1013317759
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 31, 2014
Last Updated
August 31, 2014

Practice Location

  • 296 Pennels Dr
  • Rochester, NY 14626-4917

Phone: (315) 719-6012

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1013317759
Entity Type
Individual
Last Name
Fanning
First Name
Rachel
Mailing Street Address
296 Pennels Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-4917
Mailing Country
US
Practice Street Address
296 Pennels Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4917
Practice Country
US
Practice Phone
(315) 719-6012
Enumeration Date
August 31, 2014
Last Updated
August 31, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)