Individual provider · Type 1 NPI

Shelly Marie Tate, LPN

Licensed Practical Nurse · Bryan, OH

NPI number 1710277876 Active

Practice location

4357 County Road 10
Bryan, OH 43506-9717

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN085307 (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 1710277876

Shelly Marie Tate, LPN's National Provider Identifier is 1710277876, issued on Apr 11, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bryan, OH. The record was last updated on Apr 11, 2011.