Individual
MS. SHANDA VERNETTE STURKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14 BELLEMEADE AVE, STE 7, SMITHTOWN, NY 11787-1857
(631) 265-5300
(631) 265-5789
Mailing address
14 BELLEMEADE AVE, STE 7, SMITHTOWN, NY 11787-1857
(631) 265-5300
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
268585
NY
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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