Individual provider · Type 1 NPI

Charlotte Susana Shain

Registered Nurse · Derby, KS

NPI number 1194641431 Active

Practice location

731 N Klein Cir
Derby, KS 67037-7011

Mailing address

2424 N Persimmon St
Derby, KS 67037-4210

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X108125 (KS)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1194641431

Charlotte Susana Shain's National Provider Identifier is 1194641431, issued on Jun 29, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Derby, KS. The record was last updated on Jun 29, 2026.