Shannon Lee Blaisdell, RN

NPI #1356888481 in Lakewood, New York

Provider Information

NPI Number
1356888481
Entity Type
Individual
Name
Shannon Lee Blaisdell, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Jan 26, 2017
Last Updated
May 18, 2022

Practice Location

Address
4440 CHAUTAUQUA BLVD
ZIP Code
14750-9718
Phone
(315) 283-6032

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse
Registered Nurse

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