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NPI Code Detail

MEDICARE: SHENEKA YVONNE LANE CNA

MEDICARE:   SHENEKA YVONNE LANE  CNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's Aide1401150248VA

General Provider Information

NPI Number : 1083057889
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHENEKA YVONNE LANE CNA
Provider Business Mailing Address
First Line : 2208 AFTON AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23224-8104
Country : US
Telephone Number : 804-496-9828
Fax Number :
Provider Business Practice Location Address
First Line : 2208 AFTON AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23224-8104
Country : US
Telephone Number : 804-496-9828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2013
Last Update Date : 04/10/2013

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Directions to “ SHENEKA YVONNE LANE CNA” Practice Location

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