Most Relevant Information
Provider Data
| NPI Number: | 1003433111 |
| Provider Name: | SHANITA FLANAGAN CNA - CERTIFIED NURS |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/06/2020 |
| Last Updated: | 07/06/2020 |
Provider Practice Location
4519 SOUTHWESTERN PARKWAY
LOUISVILLE
KY
40212
Practice Location Phone/Fax
| Phone: | 5024711292 |
| Fax: |
Provider Mailing Location
4519 SOUTHWESTERN PARKWAY
LOUISVILLE
KY
40212
Provider Mailing Phone/Fax
| Phone: | 5024711292 |
| Fax: |