Provider Demographics
NPI:1922889906
Name:ALLARD, SHEILA ELAINE
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:ELAINE
Last Name:ALLARD
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 1:329 ELLIOTT HILL RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-8731
Mailing Address - Country:US
Mailing Address - Phone:740-727-1039
Mailing Address - Fax:
Practice Address - Street 1:329 ELLIOTT HILL RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-8731
Practice Address - Country:US
Practice Address - Phone:740-727-1039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant