National Provider Identifier

Candice Laticia Bailey, LPN

Candice Laticia Bailey, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Webster, NY and a listed phone number of (585) 465-1961.

NPI 1326822149Webster, NYLicensed Practical Nurse

Profile Overview

NPI
1326822149
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 22, 2023
Last Updated
August 22, 2023

Practice Location

  • 143 Wishing View Dr Apt D
  • Webster, NY 14580-3158

Phone: (585) 465-1961

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1326822149
Entity Type
Individual
Last Name
Bailey
First Name
Candice
Middle Name
Laticia
Credential
LPN
Provider Other Last Name
Bailey
Provider Other First Name
Candice
Provider Other Middle Name
Laticia
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
1
Mailing Street Address
143 Wishing View Dr Apt D
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-3158
Mailing Country
US
Mailing Phone
(585) 465-1961
Practice Street Address
143 Wishing View Dr Apt D
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-3158
Practice Country
US
Practice Phone
(585) 465-1961
Enumeration Date
August 22, 2023
Last Updated
August 22, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
August 22, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)