Shane Anderson

Licensed Practical Nurse · Earleville, MD

Individual Active NPI

NPI number 1043098429

Practice location

314 Grove Neck Rd
Earleville, MD 21919-3008
Phone
(410) 275-6200

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NPI record

NPI
1043098429
Entity type
Individual (Type 1)
Enumeration date
September 18, 2023
Last updated
September 18, 2023
Certified
September 18, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X L2-0013073 DE

Mailing address

109 E Redding St
Middletown, DE 19709-1432

About Shane Anderson

Shane Anderson is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 314 Grove Neck Rd, Earleville, MD 21919-3008. The NPI number 1043098429 was assigned on September 18, 2023 and the record was last updated on September 18, 2023.

Shane Anderson lists a license in the registry: #L2-0013073 (DE) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shane Anderson?

The NPI number is 1043098429.

What is the phone number of Shane Anderson?

The phone number listed for the practice location is (410) 275-6200.

Where is Shane Anderson located?

314 Grove Neck Rd, Earleville, MD 21919-3008.

What is the taxonomy code for Shane Anderson?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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