ROXANNE SHUDARK
NPI 1013372515
Licensed Practical Nurse in Houghton Lake, MI

Active since December 28, 2015
106 TOEPHER DR, HOUGHTON LAKE, MI 48629(989) 630-3409 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roxanne Shudark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROXANNE SHUDARK (NPI 1013372515) is an individual licensed practical nurse in Houghton Lake, Michigan, licensed in Michigan (4703112155) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1013372515
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameROXANNE SHUDARK
Location Address106 TOEPHER DRHoughton Lake, MI 48629-9278
Mailing Address106 Toepher DrHoughton Lake, MI 48629-9278 · (989) 630-3409
Sole ProprietorNo
Enumeration DateDecember 28, 2015
NPI 1013372515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MI · 4703112155
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

106 TOEPHER DR, Houghton Lake, MI 48629

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roxanne Shudark's NPI number?

The NPI number for Roxanne Shudark is 1013372515. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Where is Roxanne Shudark located?

Roxanne Shudark practices at 106 Toepher Dr, Houghton Lake, MI 48629. The listed phone number is (989) 630-3409.

What is Roxanne Shudark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Roxanne Shudark was last updated on December 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.