National Provider Identifier
Antoinette Dionne Bacon, LPN
Antoinette Dionne Bacon, 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) 775-4549.
Profile Overview
- NPI
- 1053178566
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 01, 2024
- Last Updated
- March 01, 2024
Practice Location
- 281 Kenwood Ave
- Rochester, NY 14611-3033
Phone: (585) 775-4549
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1053178566
- Entity Type
- Individual
- Last Name
- Bacon
- First Name
- Antoinette
- Middle Name
- Dionne
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 281 Kenwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-3033
- Mailing Country
- US
- Mailing Phone
- (585) 775-4549
- Practice Street Address
- 281 Kenwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-3033
- Practice Country
- US
- Practice Phone
- (585) 775-4549
- Enumeration Date
- March 01, 2024
- Last Updated
- March 01, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 01, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)