Provider Demographics
NPI:1033266200
Name:OHIKU-RUNSWICK, SHIVA ARABA (LPN)
Entity Type:Individual
Prefix:MS
First Name:SHIVA
Middle Name:ARABA
Last Name:OHIKU-RUNSWICK
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:PO BOX 408
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-0408
Mailing Address - Country:US
Mailing Address - Phone:937-547-0240
Mailing Address - Fax:937-547-0240
Practice Address - Street 1:4270 BYRON DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-9700
Practice Address - Country:US
Practice Address - Phone:937-547-0240
Practice Address - Fax:937-547-0240
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 043873164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse