SHANE ANDERSON
NPI 1043098429
Licensed Practical Nurse in Earleville, MD

Active since September 18, 2023
314 GROVE NECK RD, EARLEVILLE, MD 21919(410) 275-6200 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Anderson NPPES

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

SHANE ANDERSON (NPI 1043098429) is an individual licensed practical nurse in Earleville, Maryland, licensed in Delaware (L2-0013073) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1043098429
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameSHANE ANDERSON
Location Address314 GROVE NECK RDEarleville, MD 21919-3008
Mailing Address109 E Redding StMiddletown, DE 19709-1432
Sole ProprietorNo
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
NPI 1043098429 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 DE · L2-0013073
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.
314 GROVE NECK RD, Earleville, MD 21919

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Addiction (Substance Use Disorder))
314 GROVE NECK RD
EARLEVILLE, MD 21919
Licensed Practical Nurse
314 GROVE NECK RD
EARLEVILLE, MD 21919
Registered Nurse (Addiction (Substance Use Disorder))
314 GROVE NECK RD
EARLEVILLE, MD 21919
Registered Nurse
314 GROVE NECK RD
EARLEVILLE, MD 21919
Registered Nurse
314 GROVE NECK RD
EARLEVILLE, MD 21919
Counselor (Addiction (Substance Use Disorder))
314 GROVE NECK RD
EARLEVILLE, MD 21919
Social Worker (Clinical)
314 GROVE NECK RD
EARLEVILLE, MD 21919
Social Worker
314 GROVE NECK RD
EARLEVILLE, MD 21919

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 Shane Anderson's NPI number?

The NPI number for Shane Anderson is 1043098429. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Shane Anderson located?

Shane Anderson practices at 314 Grove Neck Rd, Earleville, MD 21919. The listed phone number is (410) 275-6200.

What is Shane Anderson'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 Shane Anderson was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.