| Shelley Eaton Van Wave, LPN | |
|
3163 Touby Rd, Mansfield, OH 44903-6912 | |
| (720) 402-6771 | |
| Not Available |
| Full Name | Shelley Eaton Van Wave |
|---|---|
| Gender | Female |
| Speciality | Licensed Vocational Nurse |
| Location | 3163 Touby Rd, Mansfield, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215399688 | NPI | - | NPPES |
| 1215399688 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 48436 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Eaton Van Wave, LPN 3163 Touby Rd, Mansfield, OH 44903-6912 Ph: (720) 402-6771 | Shelley Eaton Van Wave, LPN 3163 Touby Rd, Mansfield, OH 44903-6912 Ph: (720) 402-6771 |
Mrs. Rachael Lee Maxey, LPN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 1025 S Trimble Rd, Mansfield, OH 44906 Phone: 419-529-4602 Fax: 216-229-2604 | |
Ms. Lynden E Mcdonald, LPN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 1105 Trout Dr, Mansfield, OH 44903 Phone: 149-610-6248 |