Individual provider · Type 1 NPI
Andrea Lyn Shaw
Licensed Practical Nurse · Ridgway, IL
NPI number
1174286736
Active
Practice location
900 W Race St
Ridgway, IL 62979-1150
Fax (618) 272-7118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 043119608 (IL) |
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.
3 other providers at this address
About NPI 1174286736
Andrea Lyn Shaw's National Provider Identifier is 1174286736, issued on Oct 20, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ridgway, IL. The record was last updated on Oct 20, 2021.