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NPI Code Detail

MEDICARE: SHANNON P BARNEY LVN

MEDICARE:   SHANNON P BARNEY  LVN
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
1164X00000XLicensed Vocational NurseVN257814CA

General Provider Information

NPI Number : 1093363319
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON P BARNEY LVN
Provider Business Mailing Address
First Line : 4838 LAUREL CANYON BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91607-3717
Country : US
Telephone Number : 818-506-4455
Fax Number :
Provider Business Practice Location Address
First Line : 4838 LAUREL CANYON BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91607-3717
Country : US
Telephone Number : 818-506-4455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2019
Last Update Date : 08/29/2019

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Directions to “ SHANNON P BARNEY LVN” Practice Location

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