Shelby Dane Menie, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Gore, OK

NPI

1013787134

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

L0065513 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2024-01-09

Last updated

2024-01-09