Doctor Name: | SHIRLEY JEAN DAHLGREN |
NPI Number: | 1548631336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 659005 |
Business Practice Address: | 152 Broadway Box 677 Verplanck, NY - 105967707 |
Business Phone Number: | 9145823744 |
Business Fax Number: | |
Mailing Address: | 152 Broadway, Box 677 VERPLANCK |
State: | NY |
Postal Code: | 105967707 |
Phone Number: | 9145823744 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2015 |
NPI Last Update Date: | 10/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 659005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |