Provider Demographics
NPI:1316534365
Name:DOOLITTLE, SHAUNA L (RN)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:L
Last Name:DOOLITTLE
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 1:18356 TOWNSHIP ROAD 174
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-9405
Mailing Address - Country:US
Mailing Address - Phone:419-306-3524
Mailing Address - Fax:
Practice Address - Street 1:18356 TOWNSHIP ROAD 174
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-9405
Practice Address - Country:US
Practice Address - Phone:419-306-3524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH393022163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse