| NPI | 1861635526 |
|---|---|
| Former Name | SHELBA ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 284360) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: SC 6094) |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 164W00000X Licensed Practical Nurse (Licence: NC 74622) | |
| 172A00000X Driver | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2022-07-21 |