National Provider Identifier

Candice Green, LPN

Candice Green, 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) 794-1876.

NPI 1750116109Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1750116109
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 05, 2024
Last Updated
September 05, 2024

Practice Location

  • 325 Hawley St
  • Rochester, NY 14611-3609

Phone: (585) 794-1876

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1750116109
Entity Type
Individual
Last Name
Green
First Name
Candice
Credential
LPN
Mailing Street Address
325 Hawley St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-3609
Mailing Country
US
Mailing Phone
(585) 794-1876
Practice Street Address
325 Hawley St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-3609
Practice Country
US
Practice Phone
(585) 794-1876
Enumeration Date
September 05, 2024
Last Updated
September 05, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
September 05, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)