National Provider Identifier

Angela Noel Cheatham, LPN

Angela Noel Cheatham, 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) 745-0571.

NPI 1912612912Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1912612912
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 16, 2023
Last Updated
January 13, 2025

Practice Location

  • 87 N Clinton Ave
  • Suite 429
  • Rochester, NY 14604-1455

Phone: (585) 745-0571

Mailing Address

  • 7 Lifetime Way
  • Apt 705
  • Brockport, NY 14420-2372

Specialties

  • Licensed Practical Nurse (164W00000X)
  • Personal Care Attendant (3747P1801X)
Full Record
NPI
1912612912
Entity Type
Individual
Last Name
Cheatham
First Name
Angela
Middle Name
Noel
Credential
LPN
Mailing Street Address
7 Lifetime Way
Mailing Address Line 2
Apt 705
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-2372
Mailing Country
US
Mailing Phone
(585) 745-0571
Practice Street Address
87 N Clinton Ave
Practice Address Line 2
Suite 429
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14604-1455
Practice Country
US
Practice Phone
(585) 745-0571
Enumeration Date
January 16, 2023
Last Updated
January 13, 2025
Deactivation Date
October 18, 2024
Reactivation Date
January 13, 2025
Sex
Female
Sole Proprietor
No
Certification Date
January 14, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X), Personal Care Attendant (3747P1801X)