Provider Demographics
NPI:1023981826
Name:FLEMING, SHANIESE DANEE
Entity type:Individual
Prefix:
First Name:SHANIESE
Middle Name:DANEE
Last Name:FLEMING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PACTON PL
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1460
Mailing Address - Country:US
Mailing Address - Phone:443-762-0778
Mailing Address - Fax:
Practice Address - Street 1:15 PACTON PL
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1460
Practice Address - Country:US
Practice Address - Phone:443-762-0778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL26305177253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care