National Provider Identifier

Susan Spicola

Susan Spicola is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 324-5915.

NPI 1285396218Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1285396218
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 07, 2021
Last Updated
October 07, 2021

Practice Location

  • 281 W Ridge RD
  • Rochester, NY 14615-2927

Phone: (585) 324-5915

Mailing Address

  • 41 Oconnor RD
  • Fairport, NY 14450-1327

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1285396218
Entity Type
Individual
Last Name
Spicola
First Name
Susan
Mailing Street Address
41 Oconnor RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1327
Mailing Country
US
Practice Street Address
281 W Ridge RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-2927
Practice Country
US
Practice Phone
(585) 324-5915
Enumeration Date
October 07, 2021
Last Updated
October 07, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
October 07, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)