National Provider Identifier

Shantel Drury

Shantel Drury is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Angelica, NY and a listed phone number of (607) 590-7022.

NPI 1386257707Angelica, NYLicensed Practical Nurse

Profile Overview

NPI
1386257707
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 25, 2020
Last Updated
August 25, 2020

Practice Location

  • 4069 County Road 15A
  • Angelica, NY 14709-8730

Phone: (607) 590-7022

Specialties

  • Licensed Practical Nurse (164W00000X)

Endpoints

  • Kromersm1@yahoo.com

    Connect Url | Angelica, NY 14709

Full Record
NPI
1386257707
Entity Type
Individual
Last Name
Drury
First Name
Shantel
Mailing Street Address
4069 County Road 15A
Mailing City
Angelica
Mailing State
NY
Mailing ZIP Code
14709-8730
Mailing Country
US
Mailing Phone
(607) 590-7022
Practice Street Address
4069 County Road 15A
Practice City
Angelica
Practice State
NY
Practice ZIP Code
14709-8730
Practice Country
US
Practice Phone
(607) 590-7022
Enumeration Date
August 25, 2020
Last Updated
August 25, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
August 25, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)