Shelley D Newsom in Beaver Dams - Licensed Practical Nurse
Shelley D Newsom - NPI 1053517375
Shelley D Newsom is a Licensed Practical Nurse in Beaver Dams, New York. Shelley D Newsom practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Shelley D Newsom is 1053517375. The last update date is 2007-07-09.
Shelley D Newsom's current location address is 223 King Rd, Beaver Dams, New York. You can contact this provider via phone number 6077394787. The mailing address for Shelley D Newsom is 223 King Rd, Beaver Dams, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shelley D Newsom |
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Address | 223 King Rd, Beaver Dams, New York |
Phone Number | 6077394787 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LPN |
NPI Number Detail
NPI Number | 1053517375 |
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Provider Enumeration Date | 2007-06-23 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 223 King Rd |
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City | Beaver Dams |
State | New York (NY) |
Post Code | 148129156 |
Phone Number | 6077394787 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Licensed Practical Nurse |
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Taxonomy | 164W00000X |
Licence No | 200513-1 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1171622 | NY | -- |
Post Comment/ Review Below
What is the Shelley D Newsom's 1053517375?
The Shelley D Newsom's NPI (National Provider Identifier) Number is 1053517375. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shelley D Newsom?
The Shelley D Newsom is situated at 223 King Rd, in the city of Beaver Dams, state of NY, with the zip code 148129156.
What is Shelley D Newsom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shelley D Newsom is Licensed Practical Nurse, and the taxonomy code that classifies this field of practice is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053517375 to Shelley D Newsom?
The Centers for Medicare & Medicaid Services assigned the 1053517375 to Shelley D Newsom on 2007-06-23.
As of what date was the information pertaining to Shelley D Newsom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shelley D Newsom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
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