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MRS. PETEL B FAGAN
NPI 1275836777
Licensed Practical Nurse in Rochester, NY

Active since December 06, 2010
54 JENNIFER CIR, ROCHESTER, NY 14606(585) 754-3391 Get Directions Write a Review

NPPES record last updated: December 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Petel B Fagan NPPES

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

MRS. PETEL B FAGAN (NPI 1275836777) is an individual licensed practical nurse in Rochester, New York, licensed in New York (303492) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1275836777
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. PETEL B FAGAN
Location Address54 JENNIFER CIRRochester, NY 14606-3350
Mailing Address54 Jennifer CirRochester, NY 14606-3350 · (585) 754-3391
Phone(585) 754-3391
Sole ProprietorYes
Enumeration DateDecember 6, 2010
✔ NPI 1275836777 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 · 303492
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.
54 JENNIFER CIR, Rochester, NY 14606
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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 Petel Fagan's NPI number?

The NPI number for Petel Fagan is 1275836777. It was assigned to this individual provider in the NPPES registry on December 6, 2010.

Where is Petel Fagan located?

Petel Fagan practices at 54 Jennifer Cir, Rochester, NY 14606. The listed phone number is (585) 754-3391.

What is Petel Fagan'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 Petel Fagan was last updated on December 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.