National Provider Identifier
Shannon D Sanderson, LPN
Shannon D Sanderson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Mount Morris, NY and a listed phone number of (585) 658-9492.
Profile Overview
- NPI
- 1417379348
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 12, 2014
- Last Updated
- January 12, 2014
Practice Location
- 13 Grove St
- Mount Morris, NY 14510-1108
Phone: (585) 658-9492
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1417379348
- Entity Type
- Individual
- Last Name
- Sanderson
- First Name
- Shannon
- Middle Name
- D
- Credential
- LPN
- Provider Other Last Name
- Wolcott
- Provider Other First Name
- Shannon
- Provider Other Middle Name
- D
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 13 Grove St
- Mailing City
- Mount Morris
- Mailing State
- NY
- Mailing ZIP Code
- 14510-1108
- Mailing Country
- US
- Mailing Phone
- (585) 658-9492
- Practice Street Address
- 13 Grove St
- Practice City
- Mount Morris
- Practice State
- NY
- Practice ZIP Code
- 14510-1108
- Practice Country
- US
- Practice Phone
- (585) 658-9492
- Enumeration Date
- January 12, 2014
- Last Updated
- January 12, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)