Frederick, Shanda Nicole

Frederick, Shanda Nicole is an sole proprietor health care provider with primary practice located at 633 S 19Th St 1St Fl, Newark NJ 07103-1116. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Frederick, Shanda Nicole can be contacted via phone (862) 576-7768.

Contact Information

Primary practice address
633 S 19Th St 1St Fl Newark NJ 07103-1116
Phone: (862) 576-7768
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 26NP06593200 New Jersey

Profile Details

NPI number 1538444989
LBN Legal business name Frederick, Shanda Nicole
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2011
Last updated Oct 17th, 2011 - about 13 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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