| Shannon Vidacak, LPN | |
|
2 Keewaydin Dr, Salem, NH 03079-2839 | |
| (800) 995-2673 | |
| Not Available |
| Full Name | Shannon Vidacak |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2 Keewaydin Dr, Salem, New Hampshire |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972871101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 38537 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Vidacak, LPN 2 Keewaydin Dr, Salem, NH 03079-2839 Ph: (800) 995-2673 | Shannon Vidacak, LPN 2 Keewaydin Dr, Salem, NH 03079-2839 Ph: (800) 995-2673 |
Janice Young, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 888-979-6551 | |
Phyllis Sapp, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 888-979-6551 | |
Maggie Trotter, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 888-979-6551 | |
Cindy Goff, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 888-979-6551 | |
Joyce Clark, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 888-979-6551 | |
Jeniece Howerton-palmer, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 888-979-6551 | |
Frank Ciulla, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 |