Individual provider · Type 1 NPI

Sandra Shomo, LPN

Licensed Practical Nurse · Tahlequah, OK

NPI number 1164968897 Active

Practice location

100 S Bliss Ave
Tahlequah, OK 74464-2512

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X60291 (OK)

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 1164968897

Sandra Shomo, LPN's National Provider Identifier is 1164968897, issued on Jan 19, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tahlequah, OK. The record was last updated on Jan 19, 2017.