Shirell Denise Locke Valid NPI
Individual provider · Home Health Aide · New Brighton, MN
- NPI
- 1962128165
- Type
- Individual (Type 1)
- Primary specialty
- Home Health Aide
- Specialty group
- Nursing Service Related Providers
- Taxonomy code
- 374U00000X
- License number
- 92185420210311 (MN)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2022-10-18
- Last updated
- 2022-10-18
Practice location
2154 Pike Lake Dr Apt 3
New Brighton, MN 55112-2483
(612) 875-8596