Individual provider · Type 1 NPI

Amberal Shanta Hanson

Licensed Practical Nurse · Winter Haven, FL

NPI number 1114852795 Active

Practice location

204 Tifton St
Winter Haven, FL 33880-6174

Call (863) 400-9513 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN5199753 (FL)

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 1114852795

Amberal Shanta Hanson's National Provider Identifier is 1114852795, issued on Jun 16, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Winter Haven, FL. The record was last updated on Jun 16, 2026.