Vera Melinda Shook, LPN
Licensed Practical Nurse in Marietta, GA. Individual provider (NPI-1).
NPI number1730713645
StatusActive
Last updated in NPPESFeb 29, 2020
Details
- NPI
- 1730713645
- Entity type
- Individual (NPI-1)
- Name
- Vera Melinda Shook
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 29, 2020
- Certification date
- Feb 29, 2020
- Last updated
- Feb 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 070595 | GA | Yes |
Practice location
1640 Powers Ferry Rd SeMarietta, GA 30067-5491
Phone 678-427-1323
Mailing address
2522 Sugar Pike RdCanton, GA 30115-9417
Phone 678-481-1646 · Fax 770-377-8432
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All 19 Licensed Practical Nurse providers in Marietta · All 9,180 providers in Marietta
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