National Provider Identifier

Angel Edmondson

Angel Edmondson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 775-7494.

NPI 1710354659Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1710354659
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 26, 2015
Last Updated
August 26, 2015

Practice Location

  • 560 Greenleaf Mdws
  • Rochester, NY 14612-4401

Phone: (585) 775-7494

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1710354659
Entity Type
Individual
Last Name
Edmondson
First Name
Angel
Mailing Street Address
560 Greenleaf Mdws
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-4401
Mailing Country
US
Mailing Phone
(585) 775-7494
Practice Street Address
560 Greenleaf Mdws
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-4401
Practice Country
US
Practice Phone
(585) 775-7494
Enumeration Date
August 26, 2015
Last Updated
August 26, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)