Shelly A Puckerin
Licensed Practical Nurse in Lowell, Massachusetts
1558038448- Practice location
- 22 Old Canal Dr, Lowell, MA 01851-2730
- Phone
- 978-452-5155
- Fax
- 978-937-8177
- Last updated
- August 27, 2021
Shelly Ann Ela Puckerin is a Licensed Practical Nurse based in Lowell, MA. Shelly Ann Ela Puckerin practices in Lowell, MA. The NPI Number for Shelly Ann Ela Puckerin is 1558038448 and holds a License No. LN98185 (MA). The current practice location address for Shelly Ann Ela Puckerin is 22 Old Canal Dr, Lowell, MA 01851-2730 and can be reached out via phone at 978-452-5155 and via fax at 978-937-8177.
Provider Profile Details
- NPI Number
- 1558038448
- Provider Name
- Shelly Ann Ela Puckerin
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 22 Old Canal Dr, Lowell, MA 01851-2730
- Phone Number
- 978-452-5155
- Fax Number
- 978-937-8177
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 27, 2021
- Last Update Date
- August 27, 2021
- Certification Date
- August 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Old Canal Dr
Lowell, MA 01851-2730 - City
- Lowell
- State
- Massachusetts
- Zip
- 01851-2730
- Phone Number
- 978-452-5155
- Fax Number
- 978-937-8177
Provider Business Mailing Address Details
- Address
- 22 Old Canal Dr
Lowell, MA 01851-2730 - City
- Lowell
- State
- MA
- Zip
- 01851-2730
- Phone Number
- 978-452-5155
- Fax Number
- 978-937-8177
License Information
- License Number
- LN98185
- License State
- MA
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shelly A Puckerin?
The NPI number of Shelly A Puckerin is 1558038448. It was assigned on August 27, 2021 and is currently active in the NPPES registry.
What is the specialty of Shelly A Puckerin?
Shelly A Puckerin is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN98185.
Where does Shelly A Puckerin practice?
The practice location is 22 Old Canal Dr, Lowell, MA 01851-2730. The office can be reached at 978-452-5155 (phone) or 978-937-8177 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558038448 directly on the NPPES registry website.