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SHELBY SQUARE
NPI 1811104078
Licensed Vocational Nurse in Plymouth Meeting, PA

Active since May 17, 2007
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462(610) 834-1122(610) 834-7525 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelby Square NPPES

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

SHELBY SQUARE (NPI 1811104078) is an individual licensed vocational nurse in Plymouth Meeting, Pennsylvania, licensed in Pennsylvania (PN259915L) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1811104078
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameSHELBY SQUARE
Location Address2250 HICKORY RD, SUITE 240Plymouth Meeting, PA 19462-1047
Mailing Address3501 Bristol Oxford Valley Rd, Apt. 304Levittown, PA 19057-2903 · (215) 949-0105
Phone(610) 834-1122
Fax(610) 834-7525
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1811104078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in PA · PN259915L
Definition
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
2250 HICKORY RD, Plymouth Meeting, PA 19462
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACEY ASHMAN
Licensed Practical Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
CHRISTAL RICE
Licensed Practical Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
NICHOLAS WAIGANJO LPN
Licensed Practical Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
PEARL ELLIS
Registered Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
SONJIA REED ZIEMER CNA
Nurse's Aide
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
CONNIE L GALLAGHER
Occupational Therapy Assistant
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
PAM HOFFMASTER
Physical Therapy Assistant
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122
TINA TARTAGLIONE
Licensed Practical Nurse
2250 HICKORY RD, SUITE 240
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 834-1122

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 Shelby Square's NPI number?

The NPI number for Shelby Square is 1811104078. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Shelby Square located?

Shelby Square practices at 2250 Hickory Rd Suite 240, Plymouth Meeting, PA 19462. The listed phone number is (610) 834-1122.

What is Shelby Square's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Shelby Square was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.