Individual provider · Type 1 NPI

Shannon Mary Dicenso, LPN

Licensed Practical Nurse · Blackstone, MA

NPI number 1730939901 Active

Practice location

12 Glenside Dr
Blackstone, MA 01504-1548

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLN89314 (MA)

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 1730939901

Shannon Mary Dicenso, LPN's National Provider Identifier is 1730939901, issued on Mar 22, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Blackstone, MA. The record was last updated on Mar 22, 2024.