BETSY MONALISA SHIDER LPN
NPI 1487886552
Licensed Practical Nurse in Waycross, GA

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since August 21, 2009

1007 MARY ST, WAYCROSS, GA 31503(912) 449-8600 Get Directions Write a Review

NPPES record last updated: August 21, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Betsy Monalisa Shider Lpn NPPES

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

BETSY MONALISA SHIDER LPN (NPI 1487886552) is an individual licensed practical nurse in Waycross, Georgia, licensed in Georgia (LPN045696) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1487886552

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameBETSY MONALISA SHIDERCredential: LPN

Location Address1007 MARY STWaycross, GA 31503-3823

Mailing Address1007 Mary StWaycross, GA 31503-3823 · (912) 449-8600

Phone(912) 449-8600

Sole ProprietorNo

Enumeration DateAugust 21, 2009

✔ NPI 1487886552 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 GA · LPN045696

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.

1007 MARY ST, Waycross, GA 31503

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