Individual provider · Type 1 NPI

Kristina Shively, LPN

Licensed Practical Nurse · Fort Wayne, IN

NPI number 1679162275 Active

Practice location

5050 N Clinton St
Fort Wayne, IN 46825-5886

Call (260) 484-8551 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27059092A (IN)

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 1679162275

Kristina Shively, LPN's National Provider Identifier is 1679162275, issued on Jan 18, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 18, 2021.