Provider Demographics
NPI:1497313050
Name:HEMPHILL, SHIRLEY NADINE
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:NADINE
Last Name:HEMPHILL
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 1:8522 OLIVE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-2818
Mailing Address - Country:US
Mailing Address - Phone:314-867-8818
Mailing Address - Fax:314-867-8817
Practice Address - Street 1:8522 OLIVE BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-2818
Practice Address - Country:US
Practice Address - Phone:314-867-8818
Practice Address - Fax:314-867-8817
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health