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SHELLEY EATON VAN WAVE LPN
NPI 1215399688
Licensed Vocational Nurse in Mansfield, OH

Active since March 24, 2016
3163 TOUBY RD, MANSFIELD, OH 44903(720) 402-6771 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2018, Mar 26, 2016 (2 updates tracked since 2016).

About Shelley Eaton Van Wave Lpn NPPES

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

SHELLEY EATON VAN WAVE LPN (NPI 1215399688) is an individual licensed vocational nurse in Mansfield, Ohio, licensed in Colorado (48436) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1215399688
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameSHELLEY EATON VAN WAVECredential: LPN
Location Address3163 TOUBY RDMansfield, OH 44903-6912
Mailing Address3163 Touby RdMansfield, OH 44903-6912 · (720) 402-6771
Phone(720) 402-6771
Sole ProprietorYes
Enumeration DateMarch 24, 2016
Last NPPES UpdateNovember 5, 20182 updates tracked since enumeration
✔ NPI 1215399688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CO · 48436
Definition
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
3163 TOUBY RD, Mansfield, OH 44903
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Other Identifiers 1

Medicaid1215399688CO

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 Shelley Van Wave's NPI number?

The NPI number for Shelley Van Wave is 1215399688. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Shelley Van Wave located?

Shelley Van Wave practices at 3163 Touby Rd, Mansfield, OH 44903. The listed phone number is (720) 402-6771.

What is Shelley Van Wave's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Shelley Van Wave was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.