Individual
HENRY SHANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
411 S FRAN AVE APT 8, BUTLER, MO 64730-1252
(660) 227-6040
Mailing address
411 S FRAN AVE APT 8, BUTLER, MO 64730-1252
(660) 227-6040
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
055797
MO
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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