Shirley Blum, LPN
Individual provider Active NPI Licensed Practical Nurse · Monticello, NY
NPI 1922465038 · NPPES record last updated Jan 20, 2016
Key facts
- NPI
- 1922465038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 324367 (NY)
- Practice address
- 17 Hamilton Ave
Monticello, NY 12701-1319 - Phone
- (845) 794-8080
- Fax
- (845) 791-1716
- NPI assigned
- Jan 20, 2016
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324367 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 324367 | NY | Yes |
Addresses
Primary practice location
17 Hamilton Ave
Monticello, NY 12701-1319
Mailing address
17 Hamilton Ave
Monticello, NY 12701-1319
Phone (845) 794-8080
Other names
- Shirley Lewis
Other providers in Monticello, NY
- Best Friends Services Inc
- Matthew Biasetti
- Andrea Michele Bierria
- Diane Atlagic Bloom
- Eric J. Bloom
- Blerta Blushi
- Rachel Bomgardner
- Weronika Bonar
- Alex B Boss
- Piper Bowman
All providers in Monticello, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.