SANDRA SHOMO LPN NPI 1164968897

NPI Information

NPI: 1164968897
Provider Name: SANDRA SHOMO, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
100 S BLISS AVE
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 453-5000
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Sandra Shomo, LPN is a licensed practical nurse in Tahlequah, OK. The provider is a licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states. Sandra Shomo, LPN NPI is 1164968897. 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:

100 S BLISS AVE
TAHLEQUAH, OK
ZIP 74464-512
Phone: (918) 453-5000

The enumeration date for this NPI number is 1/19/2017 and was last updated on 1/19/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		60291	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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