National Provider Identifier
Crystal Fackelman, LPN
Crystal Fackelman, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Hamlin, NY and a listed phone number of (585) 369-4145.
Profile Overview
- NPI
- 1790139095
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 22, 2016
- Last Updated
- April 22, 2016
Practice Location
- 1 Barringer Dr
- Hamlin, NY 14464-9303
Phone: (585) 369-4145
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1790139095
- Entity Type
- Individual
- Last Name
- Fackelman
- First Name
- Crystal
- Credential
- LPN
- Mailing Street Address
- 1 Barringer Dr
- Mailing City
- Hamlin
- Mailing State
- NY
- Mailing ZIP Code
- 14464-9303
- Mailing Country
- US
- Mailing Phone
- (585) 369-4145
- Practice Street Address
- 1 Barringer Dr
- Practice City
- Hamlin
- Practice State
- NY
- Practice ZIP Code
- 14464-9303
- Practice Country
- US
- Practice Phone
- (585) 369-4145
- Enumeration Date
- April 22, 2016
- Last Updated
- April 22, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)