MEDICARE: SHANTELLE FORBES LPN

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
1	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	LP57735	MD

General Provider Information

NPI Number	:	1760331458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANTELLE FORBES LPN

Provider Business Mailing Address
First Line	:	1160 W PATRICK ST
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21703-3962
Country	:	US
Telephone Number	:	240-831-4237
Fax Number	:	301-228-9132

Provider Business Practice Location Address
First Line	:	1160 W PATRICK ST
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21703-3962
Country	:	US
Telephone Number	:	240-831-4237
Fax Number	:	301-228-9132

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “ SHANTELLE FORBES LPN” Practice Location

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