Shannon Nichole Wine in Villas - Licensed Practical Nurse

Shannon Nichole Wine - NPI 1538289079

Shannon Nichole Wine is a Licensed Practical Nurse in Villas, New Jersey. Shannon Nichole Wine practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Shannon Nichole Wine is 1538289079. The last update date is 2007-07-08.

Shannon Nichole Wine's current location address is 203 Rose Ln, Villas, New Jersey. You can contact this provider via phone number 6098861260. The mailing address for Shannon Nichole Wine is 203 Rose Ln, Villas, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Nichole Wine
Address 203 Rose Ln, Villas, New Jersey
Phone Number 6098861260
Fax Number
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1538289079
Provider Enumeration Date 2007-03-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 203 Rose Ln
City Villas
State New Jersey (NJ)
Post Code 82512151
Phone Number 6098861260
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Definition:
An individual 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 r

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FAQs about Shannon Nichole Wine

What is the Shannon Nichole Wine's unique identification number?

The Shannon Nichole Wine has been assigned the NPI (National Provider Identifier) Number 1538289079 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Shannon Nichole Wine is physically located?

The Shannon Nichole Wine is situated at the following address: 203 Rose Ln, Villas, NJ 82512151.

What is Shannon Nichole Wine's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shannon Nichole Wine is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.

When did the Shannon Nichole Wine receive its 1538289079?

The Shannon Nichole Wine was issued its 1538289079 on 2007-03-29, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Shannon Nichole Wine, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Shannon Nichole Wine, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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