National Provider Identifier
Fantazia M Edick, LPN
Fantazia M Edick, 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) 478-0048.
Source: public NPPES record, last updated October 03, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1174875082
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 03, 2012
- Last Updated
- October 03, 2012
Practice Location
- 614 Clay Ave
- 2
- Rochester, NY 14613-1030
Phone: (585) 478-0048
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Fantazia M. Edick is a Rochester-based licensed practical nurse. A New York nursing licensure listing shows her practical nursing credential was issued in 2012, and Georgia Board of Nursing minutes also list an LPN credential for Fantazia M. Edick in 2015.
Full Record
- NPI
- 1174875082
- Entity Type
- Individual
- Last Name
- Edick
- First Name
- Fantazia
- Middle Name
- M
- Credential
- LPN
- Mailing Street Address
- 614 Clay Ave
- Mailing Address Line 2
- 2
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14613-1030
- Mailing Country
- US
- Mailing Phone
- (585) 478-0048
- Practice Street Address
- 614 Clay Ave
- Practice Address Line 2
- 2
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14613-1030
- Practice Country
- US
- Practice Phone
- (585) 478-0048
- Enumeration Date
- October 03, 2012
- Last Updated
- October 03, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)