Individual provider · Type 1 NPI

Shane Harris

Licensed Practical Nurse · Plymouth Meeting, PA

NPI number 1205003985 Active

Practice location

2250 Hickory Rd, Suite 240
Plymouth Meeting, PA 19462-1047

Call (610) 834-1122 Map

Mailing address

10540 171st St
Jamaica, NY 11433-1748

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000XLP42394 (MD)
Licensed Practical Nurse Primary 164W00000X331221 (NY)

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 1205003985

Shane Harris's National Provider Identifier is 1205003985, issued on May 13, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plymouth Meeting, PA. The record was last updated on Feb 2, 2018.