FANTAZIA M EDICK LPN
NPI 1174875082
Licensed Practical Nurse in Rochester, NY

Q: What is Fantazia Edick's NPI number?

The NPI number for Fantazia Edick is 1174875082. It was assigned to this individual provider in the NPPES registry on October 3, 2012.

Q: What is Fantazia Edick's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Fantazia Edick was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 03, 2012

614 CLAY AVE, 2, ROCHESTER, NY 14613(585) 478-0048 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fantazia M Edick Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FANTAZIA M EDICK LPN (NPI 1174875082) is an individual licensed practical nurse in Rochester, New York, licensed in New York (10-311923) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1174875082

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameFANTAZIA M EDICKCredential: LPN

Location Address614 CLAY AVE, 2Rochester, NY 14613-1030

Mailing Address614 Clay Ave, 2Rochester, NY 14613-1030 · (585) 478-0048

Phone(585) 478-0048

Sole ProprietorYes

Enumeration DateOctober 3, 2012

✔ NPI 1174875082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 10-311923

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

614 CLAY AVE, Rochester, NY 14613

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fantazia Edick's NPI number?

The NPI number for Fantazia Edick is 1174875082. It was assigned to this individual provider in the NPPES registry on October 3, 2012.

Where is Fantazia Edick located?

Fantazia Edick practices at 614 Clay Ave 2, Rochester, NY 14613. The listed phone number is (585) 478-0048.

What is Fantazia Edick's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Fantazia Edick was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.