Provider Demographics
NPI:1891028544
Name:MCTARNAGHAN, SHEILA LYNN (LPN)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:LYNN
Last Name:MCTARNAGHAN
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 1:9321 SHAW RD
Mailing Address - Street 2:
Mailing Address - City:NUNDA
Mailing Address - State:NY
Mailing Address - Zip Code:14517-9679
Mailing Address - Country:US
Mailing Address - Phone:585-314-4189
Mailing Address - Fax:
Practice Address - Street 1:9321 SHAW RD
Practice Address - Street 2:
Practice Address - City:NUNDA
Practice Address - State:NY
Practice Address - Zip Code:14517-9679
Practice Address - Country:US
Practice Address - Phone:585-314-4189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270988164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse