National Provider Identifier
Shelley D Newsom, LPN
Shelley D Newsom, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Beaver Dams, NY and a listed phone number of (607) 739-4787.
Profile Overview
- NPI
- 1053517375
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 23, 2007
- Last Updated
- July 09, 2007
Practice Location
- 223 King RD
- Beaver Dams, NY 14812-9156
Phone: (607) 739-4787
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1053517375
- Entity Type
- Individual
- Last Name
- Newsom
- First Name
- Shelley
- Middle Name
- D
- Credential
- LPN
- Mailing Street Address
- 223 King RD
- Mailing City
- Beaver Dams
- Mailing State
- NY
- Mailing ZIP Code
- 14812-9156
- Mailing Country
- US
- Mailing Phone
- (607) 739-4787
- Practice Street Address
- 223 King RD
- Practice City
- Beaver Dams
- Practice State
- NY
- Practice ZIP Code
- 14812-9156
- Practice Country
- US
- Practice Phone
- (607) 739-4787
- Enumeration Date
- June 23, 2007
- Last Updated
- July 09, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 01171622 (NY)