National Provider Identifier

Shannon Lee Breu, LPN

Shannon Lee Breu, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Livonia, NY and a listed phone number of (585) 346-9668.

NPI 1215381629Livonia, NYLicensed Practical Nurse

Profile Overview

NPI
1215381629
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 21, 2016
Last Updated
April 21, 2016

Practice Location

  • 22 Branch St
  • Livonia, NY 14487-9780

Phone: (585) 346-9668

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1215381629
Entity Type
Individual
Last Name
Breu
First Name
Shannon
Middle Name
Lee
Credential
LPN
Provider Other Last Name
Breu
Provider Other First Name
Shannon
Provider Other Middle Name
Lee
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
2
Mailing Street Address
22 Branch St
Mailing City
Livonia
Mailing State
NY
Mailing ZIP Code
14487-9780
Mailing Country
US
Mailing Phone
(585) 346-9668
Practice Street Address
22 Branch St
Practice City
Livonia
Practice State
NY
Practice ZIP Code
14487-9780
Practice Country
US
Practice Phone
(585) 346-9668
Enumeration Date
April 21, 2016
Last Updated
April 21, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)