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Shane Ham
Licensed Practical Nurse in Hartford, Connecticut
NPI 1255007191

Shane Ham is a Licensed Practical Nurse based in Windsor, CT. Shane Ham practices in Hartford, CT. The NPI Number for Shane Ham is 1255007191 and holds a License No. 042537 (Connecticut).

The current practice location address for Shane Ham is 999 Asylum Ave Ste 502, Hartford, CT and can be reached out via phone at 860-731-5522 and via fax at 860-731-5536. You can also correspond with Shane Ham through the mailing address at 2 WATERSIDE XING STE 401, WINDSOR, CT - 06095-1588 (mailing address contact number: 860-731-5522).

Location: 999 Asylum Ave Ste 502, Hartford, CT, 06095-1588
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255007191
Provider Name
Shane Ham
Credential
Provider Entity Type
Individual
Gender
Male
Address
999 Asylum Ave Ste 502, Hartford, CT, 06095-1588
Phone Number
860-731-5522
Fax Number
860-731-5536
Provider Enumeration Date
08/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
999 Asylum Ave Ste 502
City
Hartford
State
Connecticut
Zip
06105-2475
Phone Number
860-731-5522
Fax Number
860-731-5536
person
Provider Business Mailing Address Details
Address
999 Asylum Ave Ste 502
City
Hartford
State
Connecticut
Zip
06105-2475
Phone Number
860-731-5522
Fax Number
860-731-5536
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
042537 (Connecticut)
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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