Shannon M Dicenso, LPN
Licensed Practical Nurse in Blackstone, Massachusetts
1730939901- Practice location
- 12 Glenside Dr, Blackstone, MA 01504-1548
- Phone
- 617-201-6759
- Fax
- —
- Last updated
- March 22, 2024
Shannon Mary Dicenso is a Licensed Practical Nurse based in Blackstone, MA. Shannon Mary Dicenso practices in Blackstone, MA and has the professional credentials of LPN. The NPI Number for Shannon Mary Dicenso is 1730939901 and holds a License No. LN89314 (MA). The current practice location address for Shannon Mary Dicenso is 12 Glenside Dr, Blackstone, MA 01504-1548 and can be reached out via phone at 617-201-6759.
Provider Profile Details
- NPI Number
- 1730939901
- Provider Name
- Shannon Mary Dicenso
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12 Glenside Dr, Blackstone, MA 01504-1548
- Phone Number
- 617-201-6759
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 22, 2024
- Last Update Date
- March 22, 2024
- Certification Date
- March 22, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Glenside Dr
Blackstone, MA 01504-1548 - City
- Blackstone
- State
- Massachusetts
- Zip
- 01504-1548
- Phone Number
- 617-201-6759
Provider Business Mailing Address Details
- Address
- 12 Glenside Dr
Blackstone, MA 01504-1548 - City
- Blackstone
- State
- MA
- Zip
- 01504-1548
- Phone Number
- 617-201-6759
License Information
- License Number
- LN89314
- 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 Shannon M Dicenso, LPN?
The NPI number of Shannon M Dicenso, LPN is 1730939901. It was assigned on March 22, 2024 and is currently active in the NPPES registry.
What is the specialty of Shannon M Dicenso, LPN?
Shannon M Dicenso, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN89314.
Where does Shannon M Dicenso, LPN practice?
The practice location is 12 Glenside Dr, Blackstone, MA 01504-1548. The office can be reached at 617-201-6759 (phone).
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 1730939901 directly on the NPPES registry website.