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Sueanne Sheppard-niedhammer, LPN
Licensed Practical Nurse in Fort Edward, New York
NPI 1508925959

Sueanne Sheppard-niedhammer is a Licensed Practical Nurse based in Fort Edward, NY. Sueanne Sheppard-niedhammer practices in Fort Edward, NY and has the professional credentials of LPN. The NPI Number for Sueanne Sheppard-niedhammer is 1508925959 and holds a License No. 200223 (New York).

The current practice location address for Sueanne Sheppard-niedhammer is 110 White Birch Est, Fort Edward, NY and can be reached out via phone at 518-792-3258.

Location: 110 White Birch Est, Fort Edward, NY, 12828-9273
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508925959
Provider Name
Sueanne Sheppard-niedhammer
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
110 White Birch Est, Fort Edward, NY, 12828-9273
Phone Number
518-792-3258
Fax Number
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02315319 05 NY
institution
Provider Business Practice Location Address Details
Address
110 White Birch Est
City
Fort Edward
State
New York
Zip
12828-9273
Phone Number
518-792-3258
Fax Number
person
Provider Business Mailing Address Details
Address
110 White Birch Est
City
Fort Edward
State
New York
Zip
12828-9273
Phone Number
518-792-3258
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
200223 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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