ANDREA LYN SHAW NPI 1174286736

NPI Information

NPI: 1174286736
Provider Name: ANDREA LYN SHAW
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
900 W RACE ST
RIDGWAY, IL
ZIP 62979
Phone: (618) 272-8831
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Andrea Lyn Shaw is a licensed practical nurse in Ridgway, IL. 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. Andrea Lyn Shaw NPI is 1174286736. 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:

900 W RACE ST
RIDGWAY, IL
ZIP 62979-150
Phone: (618) 272-8831
Fax: (618) 272-7118

The enumeration date for this NPI number is 10/20/2021 and was last updated on 10/20/2021.

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		043119608	ILLINOIS	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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