SHANE LAWRENCE GURNEE RN BSN NPI 1487902029

NPI Information

  • NPI: 1487902029
  • Provider Name: SHANE LAWRENCE GURNEE, RN BSN
  • Classification: Registered Nurse - 163WC0400X
  • Specialization: Case Management
  • Entity Type: Individual
  • Address: 111 WESTFALL RD
    ROCHESTER, NY
    ZIP 14620
  • Phone: (585) 753-5178

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NPI Details

Shane Lawrence Gurnee, RN BSN is a case management registered nurse in Rochester, NY. Shane Lawrence Gurnee, RN BSN NPI is 1487902029. 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:

111 WESTFALL RD
ROCHESTER, NY
ZIP 14620-647
Phone: (585) 753-5178

The enumeration date for this NPI number is 8/28/2012 and was last updated on 8/28/2012.

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
1163WC0400XRegistered NurseCase Management659843-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1VYT200514960MEDICAIDNEW YORK

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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