National Provider Identifier
Dawn Marie Fagan, LPN
Dawn Marie Fagan, 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) 775-6673.
Profile Overview
- NPI
- 1912421496
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 27, 2017
- Last Updated
- March 17, 2018
Practice Location
- 750 E Henrietta RD
- Rochester, NY 14623-1406
Phone: (585) 775-6673
Mailing Address
- 1950 E Henrietta RD
- Rochester, NY 14623-3921
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1912421496
- Entity Type
- Individual
- Last Name
- Fagan
- First Name
- Dawn
- Middle Name
- Marie
- Credential
- LPN
- Mailing Street Address
- 1950 E Henrietta RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-3921
- Mailing Country
- US
- Mailing Phone
- (585) 775-6673
- Practice Street Address
- 750 E Henrietta RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-1406
- Practice Country
- US
- Practice Phone
- (585) 775-6673
- Enumeration Date
- July 27, 2017
- Last Updated
- March 17, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)