Individual provider · Type 1 NPI
Roxanne Shudark
Licensed Practical Nurse · Houghton Lake, MI
NPI number
1013372515
Active
Practice location
106 Toepher Dr
Houghton Lake, MI 48629-9278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 4703112155 (MI) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1013372515
Roxanne Shudark's National Provider Identifier is 1013372515, issued on Dec 28, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Houghton Lake, MI. The record was last updated on Dec 28, 2015.