National Provider Identifier

Malik Edwards, LPN

Malik Edwards, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (470) 925-9573.

NPI 1295564318Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1295564318
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 29, 2024
Last Updated
July 29, 2024

Practice Location

  • 17 Weld St
  • Rochester, NY 14605-2555

Phone: (470) 925-9573

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1295564318
Entity Type
Individual
Last Name
Edwards
First Name
Malik
Credential
LPN
Mailing Street Address
17 Weld St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14605-2555
Mailing Country
US
Mailing Phone
(470) 925-9573
Practice Street Address
17 Weld St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14605-2555
Practice Country
US
Practice Phone
(470) 925-9573
Enumeration Date
July 29, 2024
Last Updated
July 29, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
July 29, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)