Individual provider · Type 1 NPI

Shaunna Rae Detor, RN

Registered Nurse · Syracuse, NY

NPI number 1144068834 Active

Practice location

960 Salt Springs Rd
Syracuse, NY 13224-1696

Fax (315) 445-2667

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X705865 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1144068834

Shaunna Rae Detor, RN's National Provider Identifier is 1144068834, issued on Jul 17, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 17, 2024.