NPI 1013787134

Shelby Dane Menie, LPN

Practitioner Licensed Practical Nurse Gore, OK

Practice location

Address: 300 W 5th St Lot 19, Gore, OK 74435-5377
Phone: (918) 348-4384
Mailing address: 711 S Muskogee Ave, Tahlequah, OK 74464-4717

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence L0065513 (OK)

Other Licensed Practical Nurse providers in Oklahoma →

Registry record

NPI: 1013787134
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2024
Record last updated: 9 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.