National Provider Identifier
Shalom Tahnee Wilson, LPN
Shalom Tahnee Wilson, 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) 329-4306.
Profile Overview
- NPI
- 1659900611
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 02, 2020
- Last Updated
- April 02, 2020
Practice Location
- Shalomwilson36@Gmail.Com
- 118 Pine Street
- Rochester, NY 14445
Phone: (585) 329-4306
Mailing Address
- Shalom Wilson
- 118 Pine Street
- Rochester, NY 14445
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1659900611
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Shalom
- Middle Name
- Tahnee
- Name Prefix
- Mr.
- Credential
- LPN
- Mailing Street Address
- Shalom Wilson
- Mailing Address Line 2
- 118 Pine Street
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14445
- Mailing Country
- US
- Mailing Phone
- (585) 329-4306
- Practice Street Address
- Shalomwilson36@Gmail.Com
- Practice Address Line 2
- 118 Pine Street
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14445
- Practice Country
- US
- Practice Phone
- (585) 329-4306
- Enumeration Date
- April 02, 2020
- Last Updated
- April 02, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 02, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)