Provider Demographics
NPI:1659787455
Name:WHATLEY, SHEILA ANN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:ANN
Last Name:WHATLEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21501 LINGREL RD
Mailing Address - Street 2:
Mailing Address - City:WEST MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:43358-9613
Mailing Address - Country:US
Mailing Address - Phone:937-243-6224
Mailing Address - Fax:
Practice Address - Street 1:21501 LINGREL RD
Practice Address - Street 2:
Practice Address - City:WEST MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:43358-9613
Practice Address - Country:US
Practice Address - Phone:937-243-6224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN098455-MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse