Individual provider · Type 1 NPI
Shelby Dane Menie, LPN
Licensed Practical Nurse · Gore, OK
NPI number
1013787134
Active
Practice location
300 W 5th St Lot 19
Gore, OK 74435-5377
Mailing address
711 S Muskogee Ave
Tahlequah, OK 74464-4717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | L0065513 (OK) |
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 1013787134
Shelby Dane Menie, LPN's National Provider Identifier is 1013787134, issued on Jan 9, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Gore, OK. The record was last updated on Jan 9, 2024.