National Provider Identifier
Shyanne E Wise, LPN
Shyanne E Wise, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Shortsville, NY and a listed phone number of (585) 565-2456.
Profile Overview
- NPI
- 1598560104
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 17, 2025
- Last Updated
- February 17, 2025
Practice Location
- 1123 Howland RD
- Shortsville, NY 14548-9300
Phone: (585) 565-2456
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1598560104
- Entity Type
- Individual
- Last Name
- Wise
- First Name
- Shyanne
- Middle Name
- E
- Credential
- LPN
- Mailing Street Address
- 1123 Howland RD
- Mailing City
- Shortsville
- Mailing State
- NY
- Mailing ZIP Code
- 14548-9300
- Mailing Country
- US
- Practice Street Address
- 1123 Howland RD
- Practice City
- Shortsville
- Practice State
- NY
- Practice ZIP Code
- 14548-9300
- Practice Country
- US
- Practice Phone
- (585) 565-2456
- Enumeration Date
- February 17, 2025
- Last Updated
- February 17, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 17, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)