Provider Demographics
NPI:1497028450
Name:SCATES, SHELLY LYNN
Entity Type:Individual
Prefix:MS
First Name:SHELLY
Middle Name:LYNN
Last Name:SCATES
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 1:1340 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44301-2052
Mailing Address - Country:US
Mailing Address - Phone:330-351-9049
Mailing Address - Fax:
Practice Address - Street 1:1340 GRANT ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44301-2052
Practice Address - Country:US
Practice Address - Phone:330-351-9049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker