National Provider Identifier

Catherine Fantauzzo, LPN

Catherine Fantauzzo, 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) 314-3438.

NPI 1306044607Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1306044607
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 07, 2007
Last Updated
January 27, 2011

Practice Location

  • 1342 Emerson St
  • Unit D
  • Rochester, NY 14606-3054

Phone: (585) 314-3438

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1306044607
Entity Type
Individual
Last Name
Fantauzzo
First Name
Catherine
Credential
LPN
Provider Other Last Name
Johnson
Provider Other First Name
Catherine
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
1
Mailing Street Address
1342 Emerson St
Mailing Address Line 2
Unit D
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14606-3054
Mailing Country
US
Mailing Phone
(585) 314-3433
Practice Street Address
1342 Emerson St
Practice Address Line 2
Unit D
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14606-3054
Practice Country
US
Practice Phone
(585) 314-3438
Enumeration Date
July 07, 2007
Last Updated
January 27, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
02395917 (NY)