Provider Demographics
NPI:1578546990
Name:TREW, SHELIA A (RN, MSN, NP)
Entity Type:Individual
Prefix:
First Name:SHELIA
Middle Name:A
Last Name:TREW
Suffix:
Gender:F
Credentials:RN, MSN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 CHAMBLISS AVE NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-3882
Mailing Address - Country:US
Mailing Address - Phone:423-559-2800
Mailing Address - Fax:423-559-0532
Practice Address - Street 1:2415 CHAMBLISS AVE NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3882
Practice Address - Country:US
Practice Address - Phone:423-559-2800
Practice Address - Fax:423-559-0532
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN5519363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3906576Medicaid
TNP24829Medicare UPIN
TN3906576Medicare PIN