Provider Demographics
NPI:1083925812
Name:AGEE, SHEILA JO (RN)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:JO
Last Name:AGEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6091 WOODWIND CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-8857
Mailing Address - Country:US
Mailing Address - Phone:513-464-1710
Mailing Address - Fax:
Practice Address - Street 1:6091 WOODWIND CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-8857
Practice Address - Country:US
Practice Address - Phone:513-464-1710
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
OHRN.246739163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse