Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fantazia M Edick, LPN

Individual provider Licensed Practical Nurse · NPI 1174875082

Fantazia M Edick, LPN is a Licensed Practical Nurse in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

614 Clay Ave 2
Rochester, NY 14613-1030
Phone: (585) 478-0048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 10-311923 (NY)

Record details

NPI number1174875082
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedOctober 3, 2012
Last updated in NPPESOctober 3, 2012

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