Individual provider · Type 1 NPI
Shaniqua Rogers Durrett, REGISTERED NURSE
Infusion Therapy Registered Nurse · Inglewood, CA
NPI number
1104608629
Active
Practice location
313 N La Brea Ave
Inglewood, CA 90302-3400
Mailing address
1526 W 47th St
Los Angeles, CA 90062-2047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Registered Nurse Primary | 163WI0500X | 95053562 (CA) |
| Home Health Registered Nurse | 163WH0200X | 95053562 (CA) |
| Registered Nurse | 163W00000X | 95053562 (CA) |
| Wound Care Registered Nurse | 163WW0000X | 95053562 (CA) |
Infusion Therapy Registered Nurse: Definition to come...
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About NPI 1104608629
Shaniqua Rogers Durrett, REGISTERED NURSE's National Provider Identifier is 1104608629, issued on Oct 18, 2023. The primary taxonomy on file is Infusion Therapy Registered Nurse (163WI0500X), and the practice location is in Inglewood, CA. The record was last updated on Oct 18, 2023.