National Provider Identifier

Shanta Marie Allen, LPN

Shanta Marie Allen, 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) 355-4035.

NPI 1962662189Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1962662189
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 11, 2008
Last Updated
June 11, 2008

Practice Location

  • 103 Asbury St
  • Rochester, NY 14620-1915

Phone: (585) 355-4035

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1962662189
Entity Type
Individual
Last Name
Allen
First Name
Shanta
Middle Name
Marie
Credential
LPN
Mailing Street Address
103 Asbury St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-1915
Mailing Country
US
Mailing Phone
(585) 355-4035
Practice Street Address
103 Asbury St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1915
Practice Country
US
Practice Phone
(585) 355-4035
Enumeration Date
June 11, 2008
Last Updated
June 11, 2008
Sex
Female
Sole Proprietor
Yes
Taxonomies
Licensed Practical Nurse (164W00000X)