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Joanna Sue Shaw
Licensed Practical Nurse in Sidney, Ohio
NPI 1114678489

Joanna Sue Shaw is a Licensed Practical Nurse based in Lima, OH. Joanna Sue Shaw practices in Sidney, OH. The NPI Number for Joanna Sue Shaw is 1114678489 and holds a License No. PN.132704.MEDS-IV (Ohio).

The current practice location address for Joanna Sue Shaw is 1101 N Vandemark Rd, Sidney, OH and can be reached out via phone at 567-371-4418.

Location: 1101 N Vandemark Rd, Sidney, OH, 45804-1240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114678489
Provider Name
Joanna Sue Shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
1101 N Vandemark Rd, Sidney, OH, 45804-1240
Phone Number
567-371-4418
Fax Number
Provider Enumeration Date
01/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 N Vandemark Rd
City
Sidney
State
Ohio
Zip
45365-3567
Phone Number
567-371-4418
Fax Number
person
Provider Business Mailing Address Details
Address
1101 N Vandemark Rd
City
Sidney
State
Ohio
Zip
45365-3567
Phone Number
567-371-4418
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN.132704.MEDS-IV (Ohio)
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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