KHADIJAH MCFADDEN
NPI 1649775560
Licensed Practical Nurse in Rochester, NY
- Individual
- Female
- Licensed Practical Nurse
About KHADIJAH MCFADDEN
This page provides the complete NPI Profile along with additional information for Khadijah Mcfadden, a provider established in Rochester, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1649775560 assigned on March 2018. The practitioner's primary taxonomy code is 164W00000X with license number 331150 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1649775560 Verify this NPI
- Provider Name
- KHADIJAH MCFADDEN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 36 SPRUCE AVE ROCHESTER, NY 14611
- Location Phone
- (585) 802-6643
- Mailing Address
- 36 SPRUCE AVE ROCHESTER, NY 14611
- Mailing Phone
- (585) 802-6643
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-25-2018
- Last Update Date
- 10-04-2022
- Code Navigator
Location Map
Secondary Locations
- 166 Clairmount St
Rochester, NY 14621
(585) 498-0251 - 108 Van Auker St
Rochester, NY 14608
(585) 635-0128
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 331150
- License State
- NY
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649775560, enumerated as an "individual" on March 25, 2018.
The provider is located at 36 SPRUCE AVE ROCHESTER, NY 14611 and the phone number is (585) 802-6643.
Licensed Practical Nurse with taxonomy code 164W00000X.
