Individual provider · Type 1 NPI

Traci Marie Shoults, LPN

Licensed Practical Nurse · Oswego, NY

NPI number 1679981591 Active

Practice location

281 Ridge Rd
Oswego, NY 13126-6589

Call (315) 751-7643 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X288986-1 (NY)

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 1679981591

Traci Marie Shoults, LPN's National Provider Identifier is 1679981591, issued on Jul 23, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Oswego, NY. The record was last updated on Jul 23, 2014.