Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Shalom Tahnee Wilson, LPN

Individual provider Licensed Practical Nurse · NPI 1659900611

Mr. Shalom Tahnee Wilson, LPN is a Licensed Practical Nurse in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

[email protected] 118 Pine St
Rochester, NY 14445
Phone: (585) 329-4306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 337636 (NY)

Record details

NPI number1659900611
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedApril 2, 2020
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020

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