Individual
MRS. SHANITA FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA - CERTIFIED NURS
Contact information
Practice address
4519 SOUTHWESTERN PARKWAY, LOUISVILLE, KY 40212
(502) 471-1292
Mailing address
4519 SOUTHWESTERN PARKWAY, LOUISVILLE, KY 40212
(502) 471-1292
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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