Provider Demographics
NPI:1831660356
Name:PURCELL, SHEENA ERICA (RN)
Entity Type:Individual
Prefix:MISS
First Name:SHEENA
Middle Name:ERICA
Last Name:PURCELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:979 ALBANY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-4021
Mailing Address - Country:US
Mailing Address - Phone:917-518-9208
Mailing Address - Fax:
Practice Address - Street 1:WHITE GLOVE COMMUNITY CARE, INC.
Practice Address - Street 2:89 BARLETT ST, 2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-387-8181
Practice Address - Fax:718-387-8359
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY731578163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health