National Provider Identifier
Mara Elizabeth Fader, LPN
Mara Elizabeth Fader, 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) 703-9113.
Profile Overview
- NPI
- 1922389816
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 06, 2011
- Last Updated
- September 06, 2011
Practice Location
- 261 Scholfield RD
- Rochester, NY 14617-4214
Phone: (585) 703-9113
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1922389816
- Entity Type
- Individual
- Last Name
- Fader
- First Name
- Mara
- Middle Name
- Elizabeth
- Credential
- LPN
- Mailing Street Address
- 261 Scholfield RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-4214
- Mailing Country
- US
- Mailing Phone
- (585) 703-9113
- Practice Street Address
- 261 Scholfield RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-4214
- Practice Country
- US
- Practice Phone
- (585) 703-9113
- Enumeration Date
- September 06, 2011
- Last Updated
- September 06, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)