Provider Demographics
NPI:1528826328
Name:RATZELL, SHANNA MARIE (LPN)
Entity type:Individual
Prefix:
First Name:SHANNA
Middle Name:MARIE
Last Name:RATZELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HIBISCUS DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3929
Mailing Address - Country:US
Mailing Address - Phone:302-757-1840
Mailing Address - Fax:
Practice Address - Street 1:2 HIBISCUS DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-3929
Practice Address - Country:US
Practice Address - Phone:302-757-1840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL2-0009869164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse