Mr Chanel Upshur, LPN | |
11736 Nashville Blvd, Cambria Heights, NY 11411-1537 | |
(646) 372-0195 | |
Not Available |
Full Name | Mr Chanel Upshur |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 11736 Nashville Blvd, Cambria Heights, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629128095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 286511-14 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Chanel Upshur, LPN 11736 Nashville Blvd, Cambria Heights, NY 11411-1537 Ph: (646) 372-0195 | Mr Chanel Upshur, LPN 11736 Nashville Blvd, Cambria Heights, NY 11411-1537 Ph: (646) 372-0195 |
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