Hurdle, Shaneka M

Hurdle, Shaneka M is an sole proprietor health care provider with primary practice located at 1011 Huffine Mill Rd , Greensboro NC 27405-6239. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Hurdle, Shaneka M can be contacted via phone (336) 486-2562.

Contact Information

Primary practice address
1011 Huffine Mill Rd Greensboro NC 27405-6239
Phone: (336) 486-2562
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X North Carolina
Nursing Service Providers / Licensed Practical Nurse 164W00000X 85936 North Carolina

Profile Details

NPI number 1265066815
LBN Legal business name Hurdle, Shaneka M
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2020
Last updated Oct 31st, 2020 - about 4 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 1265066815 NPPES
North Carolina MEDICAID 1265066815

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