National Provider Identifier
Chanel S Phelps, LPN
Chanel S Phelps, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 754-8038.
Profile Overview
- NPI
- 1013458066
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 10, 2017
- Last Updated
- August 17, 2021
Practice Location
- 15 Milliner St
- Rochester, NY 14611-1111
Phone: (585) 754-8038
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1013458066
- Entity Type
- Individual
- Last Name
- Phelps
- First Name
- Chanel
- Middle Name
- S
- Credential
- LPN
- Provider Other Last Name
- Thompson
- Provider Other First Name
- Chanel
- Provider Other Middle Name
- S
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 15 Milliner St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-1111
- Mailing Country
- US
- Mailing Phone
- (585) 754-8038
- Practice Street Address
- 15 Milliner St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-1111
- Practice Country
- US
- Practice Phone
- (585) 754-8038
- Enumeration Date
- March 10, 2017
- Last Updated
- August 17, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 17, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)