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LANCELOT A SHIRLEY
NPI 1942489208
Licensed Practical Nurse in Bronx, NY

Active since November 02, 2007

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lancelot A Shirley NPPES

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

LANCELOT A SHIRLEY (NPI 1942489208) is an individual licensed practical nurse in Bronx, New York, licensed in New York (245252) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1942489208
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameLANCELOT A SHIRLEY
Location Address3047 ELY AVEBronx, NY 10469-3226
Mailing Address3047 Ely AveBronx, NY 10469-3226 · (718) 653-1490
Phone(718) 653-1490
Sole ProprietorYes
Enumeration DateNovember 2, 2007
✔ NPI 1942489208 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 · 245252
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.
3047 ELY AVE, Bronx, NY 10469
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Other Identifiers 1

Medicaid02066993NY

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 Lancelot Shirley's NPI number?

The NPI number for Lancelot Shirley is 1942489208. It was assigned to this individual provider in the NPPES registry on November 2, 2007.

Where is Lancelot Shirley located?

Lancelot Shirley practices at 3047 Ely Ave, Bronx, NY 10469. The listed phone number is (718) 653-1490.

What is Lancelot Shirley'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 Lancelot Shirley was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.