Individual provider · Type 1 NPI
Lauren T. Shane, APRN
Adult Health Nurse Practitioner · Charleston, SC
NPI number
1366879835
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 18385 (SC) |
| Gerontology Nurse Practitioner | 363LG0600X | 18385 (SC) |
| Primary Care Nurse Practitioner | 363LP2300X | 18385 (SC) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1366879835
Lauren T. Shane, APRN's National Provider Identifier is 1366879835, issued on Sep 30, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Charleston, SC. The record was last updated on Apr 8, 2015.