Individual provider · Type 1 NPI

Shane N. Endres

Student in an Organized Health Care Education/Training Program · Rochester, NY

NPI number 1114613544 Active

Practice location

625 Elmwood Ave
Rochester, NY 14620-2913

Mailing address

217 Paula Red Ln
Rochester, NY 14626-4436

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114613544

Shane N. Endres's National Provider Identifier is 1114613544, issued on Apr 18, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rochester, NY. The record was last updated on Apr 18, 2023.