Taxonomy Code 164W00000X(164w00000x)
Licensed Practical Nurse. Providers: 1

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Licensed Practical Nurse Providers

NPI Name Type Address

1013372515

Roxanne Shudark

Individual

106 Toepher Dr

Houghton Lake, MI

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 164W00000X
Display Name Licensed Practical Nurse
Taxonomy Group Nursing Service Providers
Taxonomy Classification Licensed Practical Nurse
Definition 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.
Effective Date September 30, 2009
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Other Taxonomy Codes

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364SX0106X • providers: 25

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156FX1201X • providers: 33

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