Individual provider · Type 1 NPI

Shannon Vidacak, LPN

Licensed Practical Nurse · Salem, NH

NPI number 1972871101 Active

Practice location

2 Keewaydin Dr
Salem, NH 03079-2839

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X38537 (OK)

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 1972871101

Shannon Vidacak, LPN's National Provider Identifier is 1972871101, issued on Dec 2, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Salem, NH. The record was last updated on Dec 2, 2011.