Shayla Lobello, RN

Individual provider Active NPI School Registered Nurse · Parish, NY

NPI 1194447458 · NPPES record last updated Sep 14, 2022

Key facts

NPI
1194447458
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
793783 (NY)
Practice address
639 County Route 22
Parish, NY 13131-3339
Phone
(315) 625-5203
Fax
(315) 625-4713
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
793783NYMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 793783 NY Yes

Addresses

Primary practice location

639 County Route 22
Parish, NY 13131-3339

Mailing address

639 County Route 22
Parish, NY 13131-3339
Phone (315) 625-5203

Other providers in Parish, NY

All providers in Parish, NY · School Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.