National Provider Identifier
Mecca Fadelyah Baxter, L.P.N.
Mecca Fadelyah Baxter, L.P.N. is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Greece, NY and a listed phone number of (585) 623-9990.
Profile Overview
- NPI
- 1326550765
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 25, 2017
- Last Updated
- October 25, 2017
Practice Location
- 66 Webwood Cir
- Greece, NY 14626-4036
Phone: (585) 623-9990
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1326550765
- Entity Type
- Individual
- Last Name
- Baxter
- First Name
- Mecca
- Middle Name
- Fadelyah
- Credential
- L.P.N.
- Mailing Street Address
- 66 Webwood Cir
- Mailing City
- Greece
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4036
- Mailing Country
- US
- Mailing Phone
- (585) 623-9990
- Practice Street Address
- 66 Webwood Cir
- Practice City
- Greece
- Practice State
- NY
- Practice ZIP Code
- 14626-4036
- Practice Country
- US
- Practice Phone
- (585) 623-9990
- Enumeration Date
- October 25, 2017
- Last Updated
- October 25, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)