DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANTA GRANT

Active Sole Proprietor

Licensed Practical Nurse · MOHEGAN LAKE, NY

Registration Details

NPI Number
1134830755
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2022 (3.4400325265946 yrs)
Last Updated
Dec 6, 2022
License
345828 (NY)
Sole Proprietor
Yes

Practice Information

Address
2927 LEXINGTON AVE
MOHEGAN LAKE, NY, 105471836
Browse NY providers · Browse ZIP 10547
Phone
9145147751
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in MOHEGAN LAKE, NY

Name Credential NPI
MRS. LISA LEE BERNDT LPN 1770782286
DENISE RAHE LPN 1659506830
INGRID N. HILLER LPN 1437470853
MISS SHAWNA NICOLE FRIERSON 1023301546
MRS. HELEN DELVECCHIO LPN 1336511427
ZAMIRA ASTRID ZEA 1528955499
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.