National Provider Identifier

Shanthi L Henderson, LPN

Shanthi L Henderson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (757) 793-7348.

NPI 1417551854Cheektowaga, NYLicensed Practical Nurse

Profile Overview

NPI
1417551854
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 25, 2020
Last Updated
November 25, 2020

Practice Location

  • 115 Meadow Pl Apt 1
  • Cheektowaga, NY 14225-3334

Phone: (757) 793-7348

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1417551854
Entity Type
Individual
Last Name
Henderson
First Name
Shanthi
Middle Name
L
Credential
LPN
Mailing Street Address
115 Meadow Pl Apt 1
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-3334
Mailing Country
US
Mailing Phone
(757) 793-7348
Practice Street Address
115 Meadow Pl Apt 1
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-3334
Practice Country
US
Practice Phone
(757) 793-7348
Enumeration Date
November 25, 2020
Last Updated
November 25, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
November 25, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)