Provider Demographics
NPI:1144032996
Name:COLES, SHALAYSIA N (LPN)
Entity type:Individual
Prefix:MS
First Name:SHALAYSIA
Middle Name:N
Last Name:COLES
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 1:405 SHARON AVE APT K
Mailing Address - Street 2:
Mailing Address - City:SHARON HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19079-1610
Mailing Address - Country:US
Mailing Address - Phone:267-278-2990
Mailing Address - Fax:
Practice Address - Street 1:405 SHARON AVE APT K
Practice Address - Street 2:
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079-1610
Practice Address - Country:US
Practice Address - Phone:267-278-2990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN324091164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse