SHANDA NICOLE FREDERICK LPN NPI 1538444989

NPI Information

NPI: 1538444989
Provider Name: SHANDA NICOLE FREDERICK, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
633 S 19TH ST
1ST FL
NEWARK, NJ
ZIP 07103
Phone: (862) 576-7768
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Shanda Nicole Frederick, LPN is a licensed practical nurse in Newark, NJ. The provider is 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. Shanda Nicole Frederick, LPN NPI is 1538444989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

633 S 19TH ST
1ST FL
NEWARK, NJ
ZIP 07103-116
Phone: (862) 576-7768

The enumeration date for this NPI number is 10/17/2011 and was last updated on 10/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		26NP06593200	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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