Individual provider · Type 1 NPI

Elissa Shepherd

Licensed Practical Nurse · New Windsor, NY

NPI number 1083375901 Active

Practice location

1103 Hawthorn Way
New Windsor, NY 12553-4785

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X341413-01 (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 1083375901

Elissa Shepherd's National Provider Identifier is 1083375901, issued on Jan 3, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in New Windsor, NY. The record was last updated on Jan 3, 2022.