MR. SHAWNTEL TYRONE PATTERSON NPI 1114432010

NPI Information

  • NPI: 1114432010
  • Provider Name: MR. SHAWNTEL TYRONE PATTERSON
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 683 E SENECA TPKE APT B1
    SYRACUSE, NY
    ZIP 13205
  • Phone: (315) 210-9355

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NPI Details

MR. Shawntel Tyrone Patterson is a licensed practical nurse in Syracuse, NY. The provider is a licensed practical nurse 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. MR. Shawntel Tyrone Patterson NPI is 1114432010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

683 E SENECA TPKE APT B1
SYRACUSE, NY
ZIP 13205-617
Phone: (315) 210-9355

The enumeration date for this NPI number is 12/13/2017 and was last updated on 12/13/2017.

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
1164W00000XLicensed Practical Nurse321750NEW YORKYes

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: 11/21/2025

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