National Provider Identifier

Andrea Casal Caetano Wiktorski, LPN

Andrea Casal Caetano Wiktorski, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Penfield, NY and a listed phone number of (585) 377-2568.

NPI 1942928338Penfield, NYLicensed Practical Nurse

Profile Overview

NPI
1942928338
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 22, 2022
Last Updated
August 22, 2022

Practice Location

  • 114 Jackson Road Ext
  • Penfield, NY 14526-1239

Phone: (585) 377-2568

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1942928338
Entity Type
Individual
Last Name
Wiktorski
First Name
Andrea
Middle Name
Casal Caetano
Credential
LPN
Mailing Street Address
114 Jackson Road Ext
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-1239
Mailing Country
US
Mailing Phone
(585) 377-2568
Practice Street Address
114 Jackson Road Ext
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-1239
Practice Country
US
Practice Phone
(585) 377-2568
Enumeration Date
August 22, 2022
Last Updated
August 22, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
August 21, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)