Shannon Lanee Whitaker in Durham - Licensed Practical Nurse
Shannon Lanee Whitaker - NPI 1073706867
Shannon Lanee Whitaker is a Licensed Practical Nurse in Durham, North Carolina. Shannon Lanee Whitaker practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Shannon Lanee Whitaker is 1073706867. The last update date is 2010-09-23.
Shannon Lanee Whitaker's current location address is 3200 Croasdaile Drive, Durham, North Carolina. You can contact this provider via phone number 9193094333. The mailing address for Shannon Lanee Whitaker is 3200 Croasdaile Drive, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Lanee Whitaker |
|---|---|
| Address | 3200 Croasdaile Drive, Durham, North Carolina |
| Phone Number | 9193094333 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1073706867 |
|---|---|
| Provider Enumeration Date | 2007-08-24 |
| Last Updated Date | 2010-09-23 |
Provider Mailing Address Detail
| Address | 3200 Croasdaile Drive |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277058324 |
| Phone Number | 9193094333 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 6619 |
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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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What is the unique 10-digit identification code issued to Shannon Lanee Whitaker by the Centers for Medicare & Medicaid Services?
The Shannon Lanee Whitaker has been assigned the NPI (National Provider Identifier) 1073706867 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Shannon Lanee Whitaker?
The Shannon Lanee Whitaker is situated at 3200 Croasdaile Drive, in the city of Durham, state of NC, with the zip code 277058324.
What is the Shannon Lanee Whitaker's area of specialization and corresponding taxonomy classification?
The Shannon Lanee Whitaker's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Shannon Lanee Whitaker receive its 1073706867 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Lanee Whitaker was assigned its 1073706867 by the Centers for Medicare & Medicaid Services on 2007-08-24.
As of what date were the Shannon Lanee Whitaker's details last updated?
The information pertaining to the Shannon Lanee Whitaker, including its address, specialty, and other details, was most recently updated on 2010-09-23.
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