Female

Shannon J. Antonio LPN

Nursing Care Agency in Wareham, MA(View on Map)

Full Name

Shannon Joy Antonio LPN

NPI Number

1871247122

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/07/2022

Specialties

(Taxonomies)

Code

251J00000X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

LN100039

Contact
Information

Purpose

Mailing
Location

Address

3 SLOOP LN
3 SLOOP LN

City

Wareham
Wareham

State

MA
MA

Postal Code

02571-1135
02571-1135

Country

US
US

Telephone Number

(508) 817-1835
(508) 817-1835

Identifiers

Identifier

NONE

Identifier State

Unknown

Identifier Issuer

NONE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/07/2022

Provider Address