Crystal Marie Shock in Marengo - Licensed Practical Nurse
Crystal Marie Shock - NPI 1336361120
Crystal Marie Shock is a Licensed Practical Nurse in Marengo, Ohio. Crystal Marie Shock practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Crystal Marie Shock is 1336361120. The last update date is 2017-03-09.
Crystal Marie Shock's current location address is 3183 State Route 229, Marengo, Ohio. You can contact this provider via phone number 7408033488. The mailing address for Crystal Marie Shock is 3183 State Route 229, Marengo, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Marie Shock |
|---|---|
| Address | 3183 State Route 229, Marengo, Ohio |
| Phone Number | 7408033488 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | HOME HEALT |
NPI Number Detail
| NPI Number | 1336361120 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2017-03-09 |
Provider Mailing Address Detail
| Address | 3183 State Route 229 |
|---|---|
| City | Marengo |
| State | Ohio (OH) |
| Post Code | 433349454 |
| Phone Number | 7408033488 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 143199 |
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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 r |
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What is the Crystal Marie Shock's unique identification number?
The Crystal Marie Shock has been assigned the NPI (National Provider Identifier) Number 1336361120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Crystal Marie Shock located?
The Crystal Marie Shock is located at 3183 State Route 229, Marengo, OH 433349454.
What is Crystal Marie Shock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Crystal Marie Shock's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
When was the Crystal Marie Shock's 1336361120 issued?
The Crystal Marie Shock's 1336361120 was issued on 2007-05-03.
When was the information pertaining to Crystal Marie Shock most recently updated or revised?
The details related to Crystal Marie Shock, including its address, specialty, and other relevant information, were last updated or revised on 2017-03-09.