MS. CANDYCE FAHNER (NPI# 1013457712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013457712 |
| Entity Type | Individual |
| Full Name | MS. CANDYCE FAHNER |
| Credential | RN IBCLC |
| Practice Address |
22 Haig Ave E Patchogue NY 11772 |
| Practice Telephone | 6317302993 |
| Mailing Telephone | 6317302993 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN309353 | NY | Nursing Service Providers |
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
L20013 | NY | Nursing Service Providers |
| Street Address |
22 HAIG AVE |
| City | E PATCHOGUE |
| State | NY |
| Zip Code | 11772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| 1578917431 | Pricilla A Vasquez | Licensed Practical Nurse | 260 Waverly Ave Apt 26, Patchogue, NY 11772 | 2016-04-18 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331538 | Snow Verdean Harper-moulton | Registered Nurse | 428 County Route 37, Massena, NY 13662-3362 | 2020-09-21 |
| 1457966426 | Aimee Sherene Woodhouse | Registered Nurse | 685 Bay Rd, Queensbury, NY 12804-1446 | 2020-09-15 |
| 1477165835 | Kelly Macmillan | Registered Nurse | 4875 Emerson Rd, Canandaigua, NY 14424-8022 | 2020-08-18 |
| 1356953798 | Living Hope Lactation Services | Registered Nurse | 910 North Goodman Street Ste 1, Rochester, NY 14609-1460 | 2020-08-18 |
| 1043836869 | Sharon Ann Reilly | Registered Nurse | 910 North Goodman Street, Suite 1, Rochester, NY 14609 | 2020-06-17 |
| 1487274585 | Renee Aviv | Registered Nurse | 2475 38th St Apt 2a, Astoria, NY 11103-4113 | 2020-04-20 |
| 1033739099 | Meghan Louise Manangon | Registered Nurse | 196 Clinton Ave Apt D34, Brooklyn, NY 11205-3417 | 2020-04-20 |
| 1235765132 | Yelizaveta Rukhlova | Registered Nurse | 100 Colfax Ave Apt 6l, Staten Island, NY 10306-3332 | 2020-03-23 |
| 1194359448 | Sheri Fitzpatrick | Registered Nurse | 65 Moison Rd N, Blauvelt, NY 10913-1414 | 2020-02-26 |
| 1952932170 | Jennifer A Whitt | Registered Nurse | 1714 Lovell Ter, Elmira, NY 14905-1235 | 2020-01-27 |
| Find all providers with the same taxonomy | ||||
| City | E PATCHOGUE |
| Zip Code | 11772 |
Please comment or provide details below to improve the information on MS. CANDYCE FAHNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.