Individual provider · Type 1 NPI
Shannon Lee Wheelock
Licensed Practical Nurse · Watertown, NY
NPI number
1003987025
Active
Practice location
20800 Carr Rd
Watertown, NY 13601-5244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 274044 (NY) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1003987025
Shannon Lee Wheelock's National Provider Identifier is 1003987025, issued on Nov 13, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Watertown, NY. The record was last updated on Jul 8, 2007.