Individual provider · Type 1 NPI
Shante'lle Der'recka Gunn
Nursing Care Agency · Dayton, OH
NPI number
1720844749
Active
Practice location
5028 Woodland Hills Blvd
Dayton, OH 45414-4758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Care Agency Primary | 251J00000X | 401618320314 (OH) |
Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
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About NPI 1720844749
Shante'lle Der'recka Gunn's National Provider Identifier is 1720844749, issued on Feb 27, 2024. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Dayton, OH. The record was last updated on Feb 27, 2024.