Provider Demographics
NPI:1023559580
Name:HUNTER, SHEILA MADONNA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:MADONNA
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:SHEILA
Other - Middle Name:MADONNA
Other - Last Name:STONER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20772 MOROCCO RD
Mailing Address - Street 2:
Mailing Address - City:BLISSFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:49228-9401
Mailing Address - Country:US
Mailing Address - Phone:734-308-5878
Mailing Address - Fax:
Practice Address - Street 1:20772 MOROCCO RD
Practice Address - Street 2:
Practice Address - City:BLISSFIELD
Practice Address - State:MI
Practice Address - Zip Code:49228-9401
Practice Address - Country:US
Practice Address - Phone:734-308-5878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703105755164W00000X
OHPN.141240.MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse