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

Shane Ham

Individual provider Licensed Practical Nurse · NPI 1255007191

Shane Ham is a Licensed Practical Nurse in Hartford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2021.

Licensed in
CT
In the registry since
2021

Practice location Address checks out

999 Asylum Ave Ste 502
Hartford, CT 06105-2475
Phone: (860) 731-5522
Fax: (860) 731-5536
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 042537 (CT)

Record details

NPI number1255007191
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2021
Last updated in NPPESAugust 20, 2021
Certification dateAugust 20, 2021
Mailing address2 Waterside Xing Ste 401, Windsor, CT 06095-1588

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