Provider Demographics
NPI:1720790900
Name:ATKINS, APPLONIAN SHANTEL
Entity Type:Individual
Prefix:
First Name:APPLONIAN
Middle Name:SHANTEL
Last Name:ATKINS
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 1:3228 KALAHARI ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44705-3606
Mailing Address - Country:US
Mailing Address - Phone:415-290-0368
Mailing Address - Fax:
Practice Address - Street 1:3228 KALAHARI ST NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44705-3606
Practice Address - Country:US
Practice Address - Phone:415-290-0368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant