Individual provider · Type 1 NPI

Shane Anderson

Licensed Practical Nurse · Earleville, MD

NPI number 1043098429 Active

Practice location

314 Grove Neck Rd
Earleville, MD 21919-3008

Call (410) 275-6200 Map

Mailing address

109 E Redding St
Middletown, DE 19709-1432

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL2-0013073 (DE)

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 1043098429

Shane Anderson's National Provider Identifier is 1043098429, issued on Sep 18, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Earleville, MD. The record was last updated on Sep 18, 2023.