Provider Demographics
NPI:1043551211
Name:BARCLEY, SHAUNDA
Entity type:Individual
Prefix:
First Name:SHAUNDA
Middle Name:
Last Name:BARCLEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:OH
Mailing Address - Zip Code:44405-1866
Mailing Address - Country:US
Mailing Address - Phone:330-506-3457
Mailing Address - Fax:
Practice Address - Street 1:2710 W STATE ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-8644
Practice Address - Country:US
Practice Address - Phone:724-598-7999
Practice Address - Fax:724-598-7998
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN304791164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse