Provider Demographics
NPI:1720384720
Name:ROWE, SHEILA ANN (LPN)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:ANN
Last Name:ROWE
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 1:8247 STATE ROUTE 61 LOT 10
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:44865-9633
Mailing Address - Country:US
Mailing Address - Phone:567-224-5864
Mailing Address - Fax:
Practice Address - Street 1:8247 STATE ROUTE 61 LOT 10
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:OH
Practice Address - Zip Code:44865-9633
Practice Address - Country:US
Practice Address - Phone:567-224-5864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN104458164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse