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Shadell Danae Maria Womack III
Licensed Vocational Nurse in Merced, California
NPI 1992386973

Shadell Danae Maria Womack III is a Licensed Vocational Nurse based in Stockton, CA. Shadell Danae Maria Womack III practices in Merced, CA. The NPI Number for Shadell Danae Maria Womack III is 1992386973 and holds a License No. 717412 (California).

The current practice location address for Shadell Danae Maria Womack III is 301 E 13Th St Ste D, Merced, CA and can be reached out via phone at 209-386-1096.

Location: 301 E 13Th St Ste D, Merced, CA, 95202-1305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992386973
Provider Name
Shadell Danae Maria Womack III
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 E 13Th St Ste D, Merced, CA, 95202-1305
Phone Number
209-386-1096
Fax Number
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000000 01 00000000
institution
Provider Business Practice Location Address Details
Address
301 E 13Th St Ste D
City
Merced
State
California
Zip
95341-6211
Phone Number
209-386-1096
Fax Number
person
Provider Business Mailing Address Details
Address
301 E 13Th St Ste D
City
Merced
State
California
Zip
95341-6211
Phone Number
209-386-1096
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
717412 (California)
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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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