RAELENE A JANUS-SHATTUCK PN140739-M-IV
NPI 1386902161
Licensed Practical Nurse in Brunswick, OH

Active since April 30, 2012
4001 GANYARD AVE, BRUNSWICK, OH 44212(330) 220-8431 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Raelene A Janus-shattuck Pn140739-m-iv NPPES

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

RAELENE A JANUS-SHATTUCK PN140739-M-IV (NPI 1386902161) is an individual licensed practical nurse in Brunswick, Ohio, licensed in Ohio (PN.140739-M-IV) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1386902161
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameRAELENE A JANUS-SHATTUCKCredential: PN140739-M-IV
Location Address4001 GANYARD AVEBrunswick, OH 44212-2717
Mailing Address4001 Ganyard AveBrunswick, OH 44212-2717 · (216) 926-7730
Sole ProprietorYes
Enumeration DateApril 30, 2012
Last NPPES UpdateApril 14, 2022
NPPES CertifiedApril 14, 2022
NPI 1386902161 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 OH · PN.140739-M-IV
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.
4001 GANYARD AVE, Brunswick, OH 44212

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 Raelene Janus-shattuck's NPI number?

The NPI number for Raelene Janus-shattuck is 1386902161. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Raelene Janus-shattuck located?

Raelene Janus-shattuck practices at 4001 Ganyard Ave, Brunswick, OH 44212. The listed phone number is (330) 220-8431.

What is Raelene Janus-shattuck'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 Raelene Janus-shattuck was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.