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Shannon Mary Dicenso, LPN
Licensed Practical Nurse in Blackstone, Massachusetts
NPI 1730939901

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 (Massachusetts).

The current practice location address for Shannon Mary Dicenso is 12 Glenside Dr, Blackstone, MA and can be reached out via phone at 617-201-6759.

Location: 12 Glenside Dr, Blackstone, MA, 01504-1548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Fax Number
Provider Enumeration Date
03/22/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
12 Glenside Dr
City
Blackstone
State
Massachusetts
Zip
01504-1548
Phone Number
617-201-6759
Fax Number
person
Provider Business Mailing Address Details
Address
12 Glenside Dr
City
Blackstone
State
Massachusetts
Zip
01504-1548
Phone Number
617-201-6759
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LN89314 (Massachusetts)
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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