Individual provider · Type 1 NPI

Joanna Sue Shaw

Licensed Practical Nurse · Sidney, OH

NPI number 1114678489 Active

Practice location

1101 N Vandemark Rd
Sidney, OH 45365-3567

Mailing address

530 S Main St
Lima, OH 45804-1240

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.132704.MEDS-IV (OH)

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 1114678489

Joanna Sue Shaw's National Provider Identifier is 1114678489, issued on Jan 18, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Sidney, OH. The record was last updated on Jan 18, 2022.