Shelly Marie Tate, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Bryan, OH

NPI

1710277876

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

PN085307 (OH)

Sex

Female

Sole proprietor

Yes

Enumerated

2011-04-11

Last updated

2011-04-11