Shantay Ealy, in Geismar, LA - Licensed Practical Nurse

Shantay Ealy, is a Licensed Practical Nurse based in Geismar, Louisiana. Shantay Ealy is licensed to practice in Louisiana (license number 220504) and her current practice location is 35727 River Oaks Rd., Geismar, Louisiana. She can be reached at her office (for appointments etc.) via phone at (225) 454-7956.

NPI number for Shantay Ealy is 1114321296 and her current mailing address is Po Box 465, Geismar, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114321296.

Contact Information

	Shantay Ealy,
	35727 River Oaks Rd., Geismar, LA 70734-0465
	(225) 454-7956
	Not Available

Provider's Profile

Full Name	Shantay Ealy
Gender	Female
Speciality	Licensed Practical Nurse
Location	35727 River Oaks Rd., Geismar, Louisiana
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1114321296
Provider Enumeration Date: 10/17/2014
Last Update Date: 10/17/2014

Medical Identifiers

Medical identifiers for Shantay Ealy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114321296	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	220504 (Louisiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shantay Ealy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shantay Ealy, Po Box 465, Geismar, LA 70734-0465 Ph: (225) 454-7956	Shantay Ealy, 35727 River Oaks Rd., Geismar, LA 70734-0465 Ph: (225) 454-7956

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Shantay Ealy, - Licensed Practical Nurse in Geismar, LA