Individual provider · Type 1 NPI

Shannon Naomi Pendergast, LPN

Licensed Practical Nurse · Shirley, NY

NPI number 1477891372 Active

Practice location

485 Sleepy Hollow Dr
Shirley, NY 11967-1218

Call (631) 316-7973 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X312460 (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 1477891372

Shannon Naomi Pendergast, LPN's National Provider Identifier is 1477891372, issued on Jan 28, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shirley, NY. The record was last updated on Jan 28, 2013.