National Provider Identifier

Shantell Gabriell Dixon

Shantell Gabriell Dixon is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 478-9034.

NPI 1336691575Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1336691575
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 03, 2016
Last Updated
November 03, 2016

Practice Location

  • 8 Yankee Ct
  • Rochester, NY 14624-4970

Phone: (585) 478-9034

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1336691575
Entity Type
Individual
Last Name
Dixon
First Name
Shantell
Middle Name
Gabriell
Name Prefix
MS.
Mailing Street Address
8 Yankee Ct
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-4970
Mailing Country
US
Mailing Phone
(585) 478-9034
Practice Street Address
8 Yankee Ct
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-4970
Practice Country
US
Practice Phone
(585) 478-9034
Enumeration Date
November 03, 2016
Last Updated
November 03, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)