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Shane Anderson
Licensed Practical Nurse in Earleville, Maryland
NPI 1043098429

Shane Anderson is a Licensed Practical Nurse based in Middletown, MD. Shane Anderson practices in Earleville, MD. The NPI Number for Shane Anderson is 1043098429 and holds a License No. L2-0013073 (Maryland).

The current practice location address for Shane Anderson is 314 Grove Neck Rd, Earleville, MD and can be reached out via phone at 410-275-6200.

Location: 314 Grove Neck Rd, Earleville, MD, 19709-1432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043098429
Provider Name
Shane Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
314 Grove Neck Rd, Earleville, MD, 19709-1432
Phone Number
410-275-6200
Fax Number
Provider Enumeration Date
09/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
314 Grove Neck Rd
City
Earleville
State
Maryland
Zip
21919-3008
Phone Number
410-275-6200
Fax Number
person
Provider Business Mailing Address Details
Address
314 Grove Neck Rd
City
Earleville
State
Maryland
Zip
21919-3008
Phone Number
410-275-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L2-0013073 (Delaware)
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.
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