Individual provider · Type 1 NPI

Shane Ham

Licensed Practical Nurse · Hartford, CT

NPI number 1255007191 Active

Practice location

999 Asylum Ave Ste 502
Hartford, CT 06105-2475

Call (860) 731-5522 Map

Fax (860) 731-5536

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X042537 (CT)

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 1255007191

Shane Ham's National Provider Identifier is 1255007191, issued on Aug 20, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hartford, CT. The record was last updated on Aug 20, 2021.