Individual provider · Type 1 NPI
Shanell Melissa Mallory, LPN
Licensed Practical Nurse · Elyria, OH
NPI number
1174856678
Active
Practice location
815 Concord Ave
Elyria, OH 44035-6507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | PN 102168 (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 1174856678
Shanell Melissa Mallory, LPN's National Provider Identifier is 1174856678, issued on Sep 15, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Elyria, OH. The record was last updated on Sep 15, 2009.