Provider Demographics
NPI:1184202244
Name:SHIELDS, NATASHA R
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:R
Last Name:SHIELDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 LAFEUILLE AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-7619
Mailing Address - Country:US
Mailing Address - Phone:513-302-5339
Mailing Address - Fax:
Practice Address - Street 1:2850 LAFEUILLE AVE APT 3
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-7619
Practice Address - Country:US
Practice Address - Phone:513-302-5339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide