| Shady Taveras, LPN | |
|
425 Grant St, Bridgeport, CT 06610-3222 | |
| (203) 781-4600 | |
| (203) 781-4624 |
| Full Name | Shady Taveras |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 425 Grant St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730501727 | NPI | - | NPPES |
| 008024427 | Medicaid | CT | |
| 008023170 | Medicaid | CT | |
| 008042339 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 33715 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shady Taveras, LPN 1 Long Wharf Dr, Suite321, New Haven, CT 06511-5991 Ph: (203) 781-4600 | Shady Taveras, LPN 425 Grant St, Bridgeport, CT 06610-3222 Ph: (203) 781-4600 |
Mrs. Angela Blair Boykin, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 115 Brittin Ave, Bridgeport, CT 06605 Phone: 203-870-1751 Fax: 203-870-1751 | |
Robert Lowe, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 425 Grant St, Bridgeport, CT 06610 Phone: 203-781-4600 Fax: 203-781-4624 | |
Latoya Audie Mendez, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 265 Washington Ave Apt A4, Bridgeport, CT 06604 Phone: 862-704-3222 | |
Mrs. Leslie A White, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2340 North Ave Apt 3c, Bridgeport, CT 06604 Phone: 203-368-9243 Fax: 203-334-0175 | |
Felicia Nichols, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Dayton Rd, Bridgeport, CT 06606 Phone: 203-895-8823 | |
Mr. Harry Kushpinsky Iii, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 425 Grant St, Bridgeport, CT 06610 Phone: 203-337-9943 Fax: 203-337-9986 | |
Patricia A Carrington, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4675 Main St, Bridgeport, CT 06606 Phone: 203-779-0860 Fax: 203-374-7515 |