Provider Demographics
NPI:1942328786
Name:SHEPLER, DANYELL MICHELLE (LPN)
Entity Type:Individual
Prefix:
First Name:DANYELL
Middle Name:MICHELLE
Last Name:SHEPLER
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:PO BOX 269
Mailing Address - Street 2:
Mailing Address - City:BAUSMAN
Mailing Address - State:PA
Mailing Address - Zip Code:17504-0269
Mailing Address - Country:US
Mailing Address - Phone:717-735-7035
Mailing Address - Fax:717-735-0518
Practice Address - Street 1:515 HERSHEY AVE # B
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-5752
Practice Address - Country:US
Practice Address - Phone:717-735-7035
Practice Address - Fax:717-735-0518
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN266908164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPN266908OtherLPN LICENSE