Niles, Shannon Leah

Niles, Shannon Leah is an sole proprietor health care provider with primary practice located at 10121 Cherry Creek Ln , Port Richey FL 34668-3709. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Niles, Shannon Leah can be contacted via phone (727) 647-9072.

Contact Information

Primary practice address
10121 Cherry Creek Ln Port Richey FL 34668-3709
Phone: (727) 647-9072
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 5222976 Florida

Profile Details

NPI number 1689132656
LBN Legal business name Niles, Shannon Leah
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2019
Last updated Mar 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689132656 NPPES
Florida Other 5222976 LPN LICENSE

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