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

SHONTAE WALDEN, LPN

Active Sole Proprietor

Licensed Practical Nurse · LAUDERDALE LAKES, FL

Registration Details

NPI Number
1558044230
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2023 (2.7028475554389 yrs)
Last Updated
Sep 22, 2023
Sole Proprietor
Yes

Practice Information

Address
3711 NW 21ST ST APT 307
LAUDERDALE LAKES, FL, 333113158
Browse FL providers · Browse ZIP 33311
Phone
3058345390
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Assistive Technology Supplier
Additional Specialty
Phlebotomy Technician
Additional Specialty
Lactation Consultant

Other Licensed Practical Nurse Providers in LAUDERDALE LAKES, FL

Name Credential NPI
ESTHER ALTIDOR LPN 1851840854
JENNIFER THOMAS LPN 1316441850
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.