Individual provider · Type 1 NPI
Shanell Smith
Home Health Registered Nurse · Bronx, NY
NPI number
1407499361
Active
Practice location
772 E 223rd St
Bronx, NY 10466
Mailing address
10534 Remington St
Jamaica, NY 11435-5010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 333752 (NY) |
| Home Health Registered Nurse Primary | 163WH0200X | 810372 (NY) |
Home Health Registered Nurse: Definition to come...
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About NPI 1407499361
Shanell Smith's National Provider Identifier is 1407499361, issued on Oct 23, 2019. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Bronx, NY. The record was last updated on Mar 18, 2021.