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

SHANNON VIDACAK, LPN

Active

Licensed Practical Nurse · SALEM, NH

Registration Details

NPI Number
1972871101
Provider Type
Individual
Gender
Female
NPI Issued
Dec 2, 2011 (14.416917820493 yrs)
Last Updated
Dec 2, 2011
License
38537 (OK)

Practice Information

Address
2 KEEWAYDIN DR
SALEM, NH, 030792839
Browse NH providers · Browse ZIP 03079
Phone
8009952673
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in SALEM, NH

Name Credential NPI
KATHLEEN LENORA MULLEN LPN 1720115561
PHYLLIS SAPP LPN 1104249457
JENIECE HOWERTON-PALMER 1245614072
CINDY GOFF 1174993471
CECELIA WEEKS 1598138281
FRANK CIULLA 1295190163
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.