Shauna M Briggs, LPN

Individual provider Active NPI Licensed Practical Nurse · Elida, OH

NPI 1467709196 · NPPES record last updated Aug 13, 2012

Key facts

NPI
1467709196
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN130602MIV (OH)
Practice address
273 Fraunfelter Rd N
Elida, OH 45807-9409
Phone
(419) 303-3172
NPI assigned
Aug 13, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN130602MIVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN130602MIV OH Yes

Addresses

Primary practice location

273 Fraunfelter Rd N
Elida, OH 45807-9409

Mailing address

273 Fraunfelter Rd N
Elida, OH 45807-9409
Phone (419) 303-3172

Other providers in Elida, OH

All providers in Elida, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.