Lancelot A Shirley in Bronx - Licensed Practical Nurse
Lancelot A Shirley - NPI 1942489208
Lancelot A Shirley is a Licensed Practical Nurse in Bronx, New York. Lancelot A Shirley practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Lancelot A Shirley is 1942489208. The last update date is 2007-11-02.
Lancelot A Shirley's current location address is 3047 Ely Ave, Bronx, New York. You can contact this provider via phone number 7186531490. The mailing address for Lancelot A Shirley is 3047 Ely Ave, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lancelot A Shirley |
|---|---|
| Address | 3047 Ely Ave, Bronx, New York |
| Phone Number | 7186531490 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1942489208 |
|---|---|
| Provider Enumeration Date | 2007-11-02 |
| Last Updated Date | 2007-11-02 |
Provider Mailing Address Detail
| Address | 3047 Ely Ave |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104693226 |
| Phone Number | 7186531490 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 245252 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2066993 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lancelot A Shirley by the Centers for Medicare & Medicaid Services (CMS)?
The Lancelot A Shirley has been assigned the NPI (National Provider Identifier) 1942489208. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Lancelot A Shirley is located?
The Lancelot A Shirley is situated at the following address: 3047 Ely Ave, Bronx, NY, 104693226.
What is the Lancelot A Shirley's specialty and taxonomy code?
The Lancelot A Shirley's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did the Lancelot A Shirley receive the assignment of its 1942489208 from the Centers for Medicare & Medicaid Services?
The Lancelot A Shirley was issued its 1942489208 by the Centers for Medicare & Medicaid Services on 2007-11-02.
As of what date were the details related to Lancelot A Shirley most recently updated or revised?
The information pertaining to Lancelot A Shirley, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-02.