Provider Demographics
NPI:1265657167
Name:HOWDYSHELL, SHEILA ANN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:ANN
Last Name:HOWDYSHELL
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 1:66684 BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:NEW PLYMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45654-8932
Mailing Address - Country:US
Mailing Address - Phone:740-596-8748
Mailing Address - Fax:
Practice Address - Street 1:66684 BETHEL RD
Practice Address - Street 2:
Practice Address - City:NEW PLYMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45654-8932
Practice Address - Country:US
Practice Address - Phone:740-596-8748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN098410164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2229252Medicaid