SHIRLEY BLUM LPN
NPI 1922465038
Licensed Practical Nurse in Monticello, NY

Active since January 20, 2016
17 HAMILTON AVE, MONTICELLO, NY 12701(845) 794-8080(845) 791-1716 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shirley Blum Lpn NPPES

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

SHIRLEY BLUM LPN (NPI 1922465038) is an individual licensed practical nurse in Monticello, New York, licensed in New York (324367) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1922465038
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHIRLEY BLUMCredential: LPN
Location Address17 HAMILTON AVEMonticello, NY 12701-1319
Mailing Address17 Hamilton AveMonticello, NY 12701-1319 · (845) 794-8080 · Fax (845) 791-1716
Fax(845) 791-1716
Sole ProprietorNo
Enumeration DateJanuary 20, 2016
NPI 1922465038 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 · 324367
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.

17 HAMILTON AVE, Monticello, NY 12701

Other Names 1

Former Name (1)Shirley Lewis Lpn

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.

Registered Nurse
17 HAMILTON AVE
MONTICELLO, NY 12701
Licensed Practical Nurse
17 HAMILTON AVE
MONTICELLO, NY 12701
Counselor (Addiction (Substance Use Disorder))
17 HAMILTON AVE
MONTICELLO, NY 12701
Counselor (Addiction (Substance Use Disorder))
17 HAMILTON AVE
MONTICELLO, NY 12701
Substance Abuse Rehabilitation Facility
17 HAMILTON AVE
MONTICELLO, NY 12701
Counselor
17 HAMILTON AVE
MONTICELLO, NY 12701
Licensed Practical Nurse
17 HAMILTON AVE
MONTICELLO, NY 12701
Counselor (Addiction (Substance Use Disorder))
17 HAMILTON AVE
MONTICELLO, NY 12701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922465038, enumerated as an "individual" on January 20, 2016.

The provider is located at 17 HAMILTON AVE MONTICELLO, NY 12701 and the phone number is (845) 794-8080.

Licensed Practical Nurse with taxonomy code 164W00000X.