Individual
SHANICE NELSON
Active
Individual
SHANICE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
174200000X
Meals Provider
—
—
174H00000X
Health Educator
Primary
—
—
246Y00000X
Health Information Specialist/Technologist
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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