Individual provider · Type 1 NPI

Shanta Grant

Licensed Practical Nurse · Mohegan Lake, NY

NPI number 1134830755 Active

Practice location

2927 Lexington Ave
Mohegan Lake, NY 10547-1836

Call (914) 514-7751 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X345828 (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 1134830755

Shanta Grant's National Provider Identifier is 1134830755, issued on Dec 6, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mohegan Lake, NY. The record was last updated on Dec 6, 2022.