Individual provider · Type 1 NPI

Juanita Shabazz, LPN

Licensed Practical Nurse · Berea, OH

NPI number 1346795218 Active

Practice location

202 E Bagley Rd
Berea, OH 44017-2058

Mailing address

25501 N Lakeland Blvd
Euclid, OH 44132-2440

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.128751.MEDS-IV (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 1346795218

Juanita Shabazz, LPN's National Provider Identifier is 1346795218, issued on Aug 22, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Berea, OH. The record was last updated on Aug 22, 2016.