Shawna Sierra Galloway LPN

NPI # 

Practice Address:

611 W Main St

Watertown, NY, 13601-1337

Practice Phone:

315-788-1530

License Number:

273010

License State:

NY

Taxonomy Grouping:

Nursing Service Providers

Taxonomy Classification:

Licensed Practical Nurse

Taxonomy Code:

164W00000X

Deactivation Date:

2024-02-01T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2024-08-30T00:00:00.000Z

Updated by NPPES on 10/15/2024. You can view the original data set for NPI # 1891569166 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Shawna Sierra Galloway , LPN 's

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Shawna Sierra Galloway , LPN 's

CMS prescription data

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