Individual provider · Type 1 NPI

Lanisha Shamalla Outlaw, RN, BSN

Registered Nurse · Middletown, NY

NPI number 1619836491 Active

Practice location

75 Brewster Dr
Middletown, NY 10940-6022

Call (845) 326-6041 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X832261 (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 1619836491

Lanisha Shamalla Outlaw, RN, BSN's National Provider Identifier is 1619836491, issued on Jan 19, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Middletown, NY. The record was last updated on Jan 19, 2026.