Individual provider · Type 1 NPI

Shadow Scott

Licensed Practical Nurse · Livingston, TX

NPI number 1316431679 Active

Practice location

5238 Old Israel Rd
Livingston, TX 77351-1686

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X340091 (TX)

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 1316431679

Shadow Scott's National Provider Identifier is 1316431679, issued on Jun 20, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Livingston, TX. The record was last updated on Jun 20, 2018.