National Provider Identifier
Shantell Hagins, LPN
Shantell Hagins, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 490-8567.
Profile Overview
- NPI
- 1437499456
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 28, 2013
- Last Updated
- June 17, 2014
Practice Location
- 171 Avery St
- Rochester, NY 14606-1903
Phone: (585) 490-8567
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1437499456
- Entity Type
- Individual
- Last Name
- Hagins
- First Name
- Shantell
- Credential
- LPN
- Mailing Street Address
- 171 Avery St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-1903
- Mailing Country
- US
- Mailing Phone
- (585) 490-8567
- Practice Street Address
- 171 Avery St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-1903
- Practice Country
- US
- Practice Phone
- (585) 490-8567
- Enumeration Date
- February 28, 2013
- Last Updated
- June 17, 2014
- Deactivation Date
- April 21, 2014
- Reactivation Date
- June 17, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)