Provider Demographics
NPI:1962457093
Name:SHEDD, VALERIE A (RNC, MSN)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:A
Last Name:SHEDD
Suffix:
Gender:F
Credentials:RNC, MSN
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:A
Other - Last Name:VERMIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:235 E CHICAGO ST
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-1783
Mailing Address - Country:US
Mailing Address - Phone:517-279-8465
Mailing Address - Fax:517-279-8665
Practice Address - Street 1:235 E CHICAGO ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-1783
Practice Address - Country:US
Practice Address - Phone:517-279-8465
Practice Address - Fax:517-279-8665
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
N18250001Medicare ID - Type Unspecified