SHELLEY EATON VAN WAVE LPN NPI 1215399688

NPI Information

Shelley Eaton Van Wave, LPN is a licensed vocational nurse in Mansfield, OH. The provider is a licensed vocational nurse 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. Shelley Eaton Van Wave, LPN NPI is 1215399688. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3163 TOUBY RD
MANSFIELD, OH
ZIP 44903-912
Phone: (720) 402-6771

The enumeration date for this NPI number is 3/24/2016 and was last updated on 11/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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