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
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 341413-01 (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.