Individual provider · Type 1 NPI

Marlena Shaw

Licensed Practical Nurse · Novi, MI

NPI number 1023450053 Active

Practice location

41621 W 11 Mile Rd
Novi, MI 48375-1804

Call (248) 299-0030 Map

Mailing address

25572 W 12 Mile Rd, #304
Southfield, MI 48034-8047

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703111716 (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.

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About NPI 1023450053

Marlena Shaw's National Provider Identifier is 1023450053, issued on Jul 18, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Novi, MI. The record was last updated on Jul 18, 2013.