Individual provider · Type 1 NPI

Shanna Gaetjen

Licensed Vocational Nurse · Conroe, TX

NPI number 1053960708 Active

Practice location

1101 Wilson Rd Apt 112
Conroe, TX 77301-1609

Mailing address

1155 Dairy Ashford Rd Ste 560
Houston, TX 77079-3035

Other practice locations

  • 1101 Wilson Rd Apt 112, Conroe, TX 77301-1609 · (936) 777-1144

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X171298 (TX)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1053960708

Shanna Gaetjen's National Provider Identifier is 1053960708, issued on Sep 5, 2019. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Conroe, TX. The record was last updated on Sep 5, 2019.