SHANNA GAETJEN

Licensed Vocational Nurse

Active Individual
NPI: 1053960708

Practice Address

1101 WILSON RD APT 112
Conroe, TX 77301

Phone: (936) 777-1144

Specialties

Specialty Code Primary License
Licensed Vocational Nurse 164X00000X Yes 171298 (TX)

Frequently Asked Questions

NPI 1053960708 is the National Provider Identifier for SHANNA GAETJEN, a Licensed Vocational Nurse provider located in Conroe, TX. This NPI was enumerated on September 5, 2019.
SHANNA GAETJEN practices at 1101 WILSON RD APT 112, Conroe, TX 77301.

Quick Facts

NPI
1053960708
Type
Individual
Enumerated
Sep 5, 2019
Last Updated
Sep 5, 2019

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