Individual provider · Type 1 NPI

Vicki Shawver, RN, BS

Developmental Therapist · Olney, IL

NPI number 1154436384 Active

Practice location

723 E Main St
Olney, IL 62450-2619

Fax (618) 395-3123

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200X41200924 (IL)
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1154436384

Vicki Shawver, RN, BS's National Provider Identifier is 1154436384, issued on Aug 20, 2006. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Olney, IL. The record was last updated on Sep 11, 2025.