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.
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)
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)