Provider Demographics
NPI:1467671768
Name:SHEFFIELD, DEANNA DREW (RPT)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:DREW
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42229 BAYOU RD
Mailing Address - Street 2:
Mailing Address - City:BAY MINETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36507-7891
Mailing Address - Country:US
Mailing Address - Phone:251-580-3793
Mailing Address - Fax:
Practice Address - Street 1:107 N HOYLE AVE
Practice Address - Street 2:
Practice Address - City:BAY MINETTE
Practice Address - State:AL
Practice Address - Zip Code:36507-4827
Practice Address - Country:US
Practice Address - Phone:251-580-8236
Practice Address - Fax:251-580-8239
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH3146174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist