National Provider Identifier

Ebony Chadel Nelson

Ebony Chadel Nelson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 353-0476.

NPI 1295146926Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1295146926
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 15, 2014
Last Updated
May 15, 2014

Practice Location

  • 725 Ridgeway Ave
  • Rochester, NY 14615-3213

Phone: (585) 353-0476

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1295146926
Entity Type
Individual
Last Name
Nelson
First Name
Ebony
Middle Name
Chadel
Name Prefix
Miss
Mailing Street Address
725 Ridgeway Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14615-3213
Mailing Country
US
Mailing Phone
(353) 353-0476
Practice Street Address
725 Ridgeway Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-3213
Practice Country
US
Practice Phone
(585) 353-0476
Enumeration Date
May 15, 2014
Last Updated
May 15, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
317647 (NY)