Individual provider · NPI-1

Shirley Adu Arthur

Licensed Practical Nurse · Islandia, NY

NPI number1891095469
StatusActive
Last updated in NPPESOct 28, 2010

Details

NPI
1891095469
Entity type
Individual (NPI-1)
Name
Shirley Adu Arthur
Sex
Female
Sole proprietor
No
Enumeration date
Oct 28, 2010
Last updated
Oct 28, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse298774NYYes

Practice location

68 Sagebrush Ln
Islandia, NY 11749-1725

Phone 631-579-4194

Mailing address

68 Sagebrush Ln
Islandia, NY 11749-1725

Phone 631-579-4194

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