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NPI Code Detail

MEDICARE: SHANIE HOPEYVONNE TARRANT-FRYER LSW

MEDICARE: SHANIE HOPEYVONNE TARRANT-FRYER LSW
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
1104100000XSocial WorkerSW142777PA
2163W00000XRegistered NurseRN9652796FL

General Provider Information

NPI Number : 1588525125
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANIE HOPEYVONNE TARRANT-FRYER LSW
Provider Business Mailing Address
First Line : 1681 CROWN AVE STE 10
Second Line :
City : LANCASTER
State : PA
Zip : 17601-6303
Country : US
Telephone Number : 717-208-6668
Fax Number : 717-208-6687
Provider Business Practice Location Address
First Line : 410 N PRINCE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17603-3010
Country : US
Telephone Number : 717-560-7917
Fax Number : 717-560-6452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2025
Last Update Date : 04/17/2026

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Directions to “ SHANIE HOPEYVONNE TARRANT-FRYER LSW” Practice Location

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