John Wayne Shew LPN

NPI 1093066474 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1093066474
Gender Male
Enumeration Date 09/26/2012
Last Updated 09/26/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1898 FORT ROAD
SHERIDAN WY, 82801, US
Phone (307) 672-1661
Fax
Business Location
1898 FORT ROAD
SHERIDAN WY, 82801, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Wyoming
License Number 7923
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According to our database, Mr. John Wayne Shew LPN NPI is 1093066474, taxonomy code is 164W00000X and license number is 7923, license state is located at Wyoming. John Wayne Shew LPN physically located at 1898 Fort Road, Sheridan WY, 82801. NPI Number John Wayne Shew LPN has the Individual type.

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1093066474 NPI number is provided on an as is basis without warranty of any kind. 1093066474 is maintained by the National Plan & Provider Enumeration System. The contents of John Wayne Shew LPN are for informational purposes only.