National Provider Identifier
Eboni Nicole Fairwell, RN
Eboni Nicole Fairwell, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 465-7387.
Profile Overview
- NPI
- 1184057325
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- August 12, 2013
- Last Updated
- May 03, 2014
Practice Location
- 329 Charwood Cir
- Rochester, NY 14609-2708
Phone: (585) 465-7387
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1184057325
- Entity Type
- Individual
- Last Name
- Fairwell
- First Name
- Eboni
- Middle Name
- Nicole
- Credential
- RN
- Mailing Street Address
- 329 Charwood Cir
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-2708
- Mailing Country
- US
- Mailing Phone
- (585) 465-7387
- Practice Street Address
- 329 Charwood Cir
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-2708
- Practice Country
- US
- Practice Phone
- (585) 465-7387
- Enumeration Date
- August 12, 2013
- Last Updated
- May 03, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)