Provider Demographics
NPI:1043521883
Name:SHINN, SHARNETTE DENISE (LPN)
Entity Type:Individual
Prefix:MS
First Name:SHARNETTE
Middle Name:DENISE
Last Name:SHINN
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 1:5466 ENGLECREST DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-7979
Mailing Address - Country:US
Mailing Address - Phone:614-829-5325
Mailing Address - Fax:
Practice Address - Street 1:5466 ENGLECREST DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-7979
Practice Address - Country:US
Practice Address - Phone:614-829-5325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-26
Last Update Date:2010-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN098841164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse