Shyanne Rain Austin Valid NPI

Individual provider · Licensed Practical Nurse · Mcalester, OK

NPI

1568066017

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

L0068662 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2020-11-25

Last updated

2020-11-25