Provider Demographics
NPI:1891408241
Name:SHAND, MARGARET LYNNE (RN)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:LYNNE
Last Name:SHAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 SUMMERHILL RD
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-3481
Mailing Address - Country:US
Mailing Address - Phone:203-345-9889
Mailing Address - Fax:
Practice Address - Street 1:147 SUMMERHILL RD
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-3481
Practice Address - Country:US
Practice Address - Phone:203-345-9889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT140612163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management