Doctor Name: | DEBRA LEE SHINES |
NPI Number: | 1053587790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | LP00041083 |
Business Practice Address: | 720 W Court St Suite 8 Pasco, WA - 993014178 |
Business Phone Number: | 5095456506 |
Business Fax Number: | |
Mailing Address: | Po Box 1323, PASCO |
State: | WA |
Postal Code: | 993011323 |
Phone Number: | 5095472204 |
Fax Number: | 5095428836 |
NPI Enumeration Date: | 05/02/2008 |
NPI Last Update Date: | 05/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | LP00041083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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. |