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SHAWNDEL MINTER
NPI 1700375078
Licensed Practical Nurse in Medford, NY

Active since May 02, 2018
125 MAPLE LN, MEDFORD, NY 11763(631) 846-7606 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shawndel Minter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWNDEL MINTER (NPI 1700375078) is an individual licensed practical nurse in Medford, New York, licensed in New York (331328-1) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1700375078
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameSHAWNDEL MINTER
Location Address125 MAPLE LNMedford, NY 11763-1027
Mailing Address125 Maple LnMedford, NY 11763-1027 · (631) 846-7606
Phone(631) 846-7606
Sole ProprietorYes
Enumeration DateMay 2, 2018
✔ NPI 1700375078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 331328-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
125 MAPLE LN, Medford, NY 11763
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawndel Minter's NPI number?

The NPI number for Shawndel Minter is 1700375078. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Shawndel Minter located?

Shawndel Minter practices at 125 Maple Ln, Medford, NY 11763. The listed phone number is (631) 846-7606.

What is Shawndel Minter's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shawndel Minter was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.