National Provider Identifier

Shantanette S Warren, LPN

Shantanette S Warren, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Medina, NY and a listed phone number of (585) 532-3747.

NPI 1699631002Medina, NYLicensed Practical Nurse

Profile Overview

NPI
1699631002
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 30, 2025
Last Updated
December 30, 2025

Practice Location

  • 304 E Oak Orchard St Apt 2
  • Medina, NY 14103-1609

Phone: (585) 532-3747

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1699631002
Entity Type
Individual
Last Name
Warren
First Name
Shantanette
Middle Name
S
Credential
LPN
Mailing Street Address
304 E Oak Orchard St Apt 2
Mailing City
Medina
Mailing State
NY
Mailing ZIP Code
14103-1609
Mailing Country
US
Mailing Phone
(585) 532-3747
Practice Street Address
304 E Oak Orchard St Apt 2
Practice City
Medina
Practice State
NY
Practice ZIP Code
14103-1609
Practice Country
US
Practice Phone
(585) 532-3747
Enumeration Date
December 30, 2025
Last Updated
December 30, 2025
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
December 29, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)