National Provider Identifier

Kadesia Hazel

Kadesia Hazel is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 622-0388.

NPI 1497492136Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1497492136
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 15, 2022
Last Updated
May 15, 2022

Practice Location

  • 182 Avenue D Apt 306
  • Rochester, NY 14621-4461

Phone: (585) 622-0388

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1497492136
Entity Type
Individual
Last Name
Hazel
First Name
Kadesia
Mailing Street Address
182 Avenue D Apt 306
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-4461
Mailing Country
US
Practice Street Address
182 Avenue D Apt 306
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-4461
Practice Country
US
Practice Phone
(585) 622-0388
Enumeration Date
May 15, 2022
Last Updated
May 15, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
May 15, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)