National Provider Identifier
Champagne Anderson, LPN
Champagne Anderson, 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) 406-2852.
Source: public NPPES record, last updated March 13, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1669747408
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 13, 2012
- Last Updated
- March 13, 2012
Practice Location
- 663 Portland Ave
- Rochester, NY 14621-5132
Phone: (585) 406-2852
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Champagne Anderson is a Rochester, New York licensed practical nurse whose public record includes earlier long-term-care work: St. Ann’s Community named her among its 2009 nursing scholarship recipients when she was a CNA. The New York State Education Department later recorded a 2014 nursing consent order involving a suspension, probation, and fine related to a conviction for willful violation of health laws.
Full Record
- NPI
- 1669747408
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Champagne
- Credential
- LPN
- Mailing Street Address
- 663 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-5132
- Mailing Country
- US
- Mailing Phone
- (585) 406-2852
- Practice Street Address
- 663 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-5132
- Practice Country
- US
- Practice Phone
- (585) 406-2852
- Enumeration Date
- March 13, 2012
- Last Updated
- March 13, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)