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NPI 1346458262

IndividualActive

Alivia Shade, LPN

NPI 1346458262 · Licensed Practical Nurse · Plymouth Meeting, PA

Provider details

NPI number: 1346458262
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Female
Sole proprietor: Yes
License: LP23312 (MD)

Practice location

2250 Hickory Rd

Suite 240

Plymouth Meeting, PA 19462-1047

Phone: (610) 834-1122

More PA providers

Mailing address

40 Pops Ln

Great Cacapon, WV 25422-3315

Registry dates

Enumerated: 2007-05-21
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alivia Shade, LPN — NPI 1346458262, Plymouth Meeting, PA | NPI Central