Provider Demographics
NPI:1902585250
Name:BELL, SHANTERIA TASHAYE (LPN)
Entity Type:Individual
Prefix:
First Name:SHANTERIA
Middle Name:TASHAYE
Last Name:BELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 BRANDYWINE RD APT 900F
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-2052
Mailing Address - Country:US
Mailing Address - Phone:561-727-4428
Mailing Address - Fax:
Practice Address - Street 1:1441 BRANDYWINE RD APT 900F
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-2052
Practice Address - Country:US
Practice Address - Phone:561-727-4428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5251667164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse