Shady Bourham

Licensed Practical Nurse

6321 New Utrecht Ave, Brooklyn
  New York, 11219-5425
212-687-7464
Shady Bourham is a Brooklyn, New York based nurse who is specialized as Licensed Practical Nurse (LPN). Active license number of Shady Bourham is 327253 for Licensed Practical Nurse (LPN) in New York. Current practice location of Shady Bourham is 6321 New Utrecht Ave, Brooklyn. Patients can reach him at 212-687-7464 or can fax him at 212-257-7016. Shady Bourham with specialization in Licensed Practical Nurse (LPN) and his NPI number (Unique professional ID assigned by NPPES) is 1316480643.
Shady Bourham is a state-licensed healthcare professional who provides basic nursing care to patients such as monitoring vitals, dressing wounds, and administering medication etc. under the supervision of a Registered Nurse (RN) or physician. LPNs are direct link between a patient, their family and their doctor and other providers. LPNs typically work in clinics, hospitals, nursing homes, rehabilitation centers, and home healthcare etc.

Complete Profile:
Shady Bourham speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Licensed Practical Nurse (LPN)
Gender:Male
Practice Address:6321 New Utrecht Ave, Brooklyn,
New York, 11219-5425
Phone:212-687-7464
Fax:212-257-7016
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1316480643
NPI Enumeration Date: 18 Nov, 2016
NPI Last Update On: 18 Nov, 2016

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shady Bourham are as mentioned below.
License NumberSpecializationStateStatus
327253Licensed Practical Nurse (LPN) New YorkPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 250 Central Ave, Apt215-b
Newark, New Jersey
Zip: 07103-4201
Phone Number: 203-252-8704
Patients can reach Shady Bourham at 6321 New Utrecht Ave, Brooklyn, New York or can call to book an appointment on 212-687-7464.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.