National Provider Identifier

Candice Irene Sides

Candice Irene Sides is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 233-4953.

NPI 1891570420Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1891570420
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 30, 2023
Last Updated
August 30, 2023

Practice Location

  • 117 Willis Ave
  • Rochester, NY 14616-4611

Phone: (585) 233-4953

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1891570420
Entity Type
Individual
Last Name
Sides
First Name
Candice
Middle Name
Irene
Mailing Street Address
117 Willis Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-4611
Mailing Country
US
Mailing Phone
(585) 233-4953
Practice Street Address
117 Willis Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-4611
Practice Country
US
Practice Phone
(585) 233-4953
Enumeration Date
August 30, 2023
Last Updated
August 30, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
August 30, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)