Individual provider · NPI-1

Shanice Nelson

Health Educator · Louisville, KY

NPI number1104540962

StatusActive

Last updated in NPPESSep 26, 2022

Details

NPI: 1104540962
Entity type: Individual (NPI-1)
Name: Shanice Nelson
Sex: Female
Sole proprietor: Yes
Enumeration date: Sep 26, 2022
Certification date: Sep 26, 2022
Last updated: Sep 26, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
174H00000X	Health Educator	–	–	Yes
172A00000X	Driver	–	–
174200000X	Meals	–	–
246Y00000X	Spec/Tech, Health Info	–	–
343900000X	Non-emergency Medical Transport (VAN)	–	–

Practice location

801 Barret Ave Ste 301
Louisville, KY 40204-1747

Phone 502-457-6153

Mailing address

605 Scholar House Ct Apt 301
Louisville, KY 40217-1879

Phone 502-457-6153

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