Individual provider · Type 1 NPI
Shalom Tahnee Wilson, LPN
Licensed Practical Nurse · Rochester, NY
Practice location
SHALOMWILSON36@GMAIL.COM, 118 Pine Street
Rochester, NY 14445
Mailing address
Shalom Wilson, 118 Pine Street
Rochester, NY 14445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 337636 (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 1659900611
Shalom Tahnee Wilson, LPN's National Provider Identifier is 1659900611, issued on Apr 2, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Apr 2, 2020.