Provider Demographics
NPI:1417087925
Name:HEDRICK-SHEAFFER, OLANA LYNN (MS & ATC)
Entity Type:Individual
Prefix:MRS
First Name:OLANA
Middle Name:LYNN
Last Name:HEDRICK-SHEAFFER
Suffix:
Gender:F
Credentials:MS & ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 4 BOX 556
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-9719
Mailing Address - Country:US
Mailing Address - Phone:814-946-3787
Mailing Address - Fax:
Practice Address - Street 1:3000 IVYSIDE PARK
Practice Address - Street 2:PENN STATE ALTOONA COLLEGE
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-3777
Practice Address - Country:US
Practice Address - Phone:814-949-5235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART001863A146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant