Doctor Name: | SHANNON SHAFFER |
NPI Number: | 1043510829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | PN253205L |
Business Practice Address: | 423 N 21st St Suite 100 Camp Hill, PA - 170112207 |
Business Phone Number: | 7177610930 |
Business Fax Number: | 7177610465 |
Mailing Address: | 70 Ridgeview Dr, ETTERS |
State: | PA |
Postal Code: | 173199624 |
Phone Number: | 7177610930 |
Fax Number: | 7177610465 |
NPI Enumeration Date: | 10/27/2010 |
NPI Last Update Date: | 10/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | PN253205L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy 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. |