Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raelene A Janus-Shattuck, PN140739-M-IV

Individual provider Licensed Practical Nurse · NPI 1386902161

Raelene A Janus-Shattuck, PN140739-M-IV is a Licensed Practical Nurse in Brunswick, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2012

Practice location Address checks out

4001 Ganyard Ave
Brunswick, OH 44212-2717
Phone: (330) 220-8431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN.140739-M-IV (OH)

Record details

NPI number1386902161
Entity typeIndividual (Type 1)
GenderFemale
Credentials PN140739-M-IV
Sole proprietorYes
NPI enumeratedApril 30, 2012
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022

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