Shanaurie Marie Carson-Chandler, LVN

Individual provider Active NPI Licensed Vocational Nurse · Converse, TX

NPI 1962032136 · NPPES record last updated Jan 16, 2020

Key facts

NPI
1962032136
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
331151 (TX)
Practice address
7616 Upper Seguin Rd TRLR 94
Converse, TX 78109-9799
Phone
(210) 330-0443
NPI assigned
Jan 16, 2020
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

LicenseStateTypeSpecialty
331151TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 331151 TX Yes

Addresses

Primary practice location

7616 Upper Seguin Rd TRLR 94
Converse, TX 78109-9799

Mailing address

7616 Upper Seguin Rd TRLR 94
Converse, TX 78109-9799
Phone (210) 330-0443

Other providers in Converse, TX

All providers in Converse, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.