Shannon Lee Wheelock in Watertown - Licensed Practical Nurse

Shannon Lee Wheelock - NPI 1003987025

Shannon Lee Wheelock is a Licensed Practical Nurse in Watertown, New York. Shannon Lee Wheelock practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Shannon Lee Wheelock is 1003987025. The last update date is 2007-07-08.

Shannon Lee Wheelock's current location address is 20800 Carr Rd, Watertown, New York. You can contact this provider via phone number 3154058469. The mailing address for Shannon Lee Wheelock is 20800 Carr Rd, Watertown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Lee Wheelock
Address 20800 Carr Rd, Watertown, New York
Phone Number 3154058469
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1003987025
Provider Enumeration Date 2006-11-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 20800 Carr Rd
City Watertown
State New York (NY)
Post Code 136015244
Phone Number 3154058469
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 274044
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 Lee Wheelock

What is the unique 10-digit identification code issued to Shannon Lee Wheelock by the Centers for Medicare & Medicaid Services?

The Shannon Lee Wheelock has been assigned the NPI (National Provider Identifier) 1003987025 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Shannon Lee Wheelock's facilities are geographically located?

The facilities of Shannon Lee Wheelock are physically situated at the following location: 20800 Carr Rd, Watertown, NY, 136015244.

What is Shannon Lee Wheelock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shannon Lee Wheelock's specialized field of practice is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 164W00000X.

On what date did the Shannon Lee Wheelock receive its 1003987025 assignment from the Centers for Medicare & Medicaid Services?

The Shannon Lee Wheelock was assigned its 1003987025 by the Centers for Medicare & Medicaid Services on 2006-11-13.

When was the Shannon Lee Wheelock's information last updated?

The Shannon Lee Wheelock's information was last updated on 2007-07-08.

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