NPI 1043098429

Shane Anderson

Practitioner Licensed Practical Nurse Earleville, MD

Practice location

Address: 314 Grove Neck Rd, Earleville, MD 21919-3008
Phone: (410) 275-6200
Mailing address: 109 E Redding St, Middletown, DE 19709-1432

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence L2-0013073 (DE)

Other Licensed Practical Nurse providers in Maryland →

Registry record

NPI: 1043098429
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2023
Record last updated: 18 Sep 2023

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.