Provider Demographics
NPI:1184950214
Name:TOWNSEND, SHAMEE L (LPN)
Entity type:Individual
Prefix:
First Name:SHAMEE
Middle Name:L
Last Name:TOWNSEND
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 1:4180 WENZ CT
Mailing Address - Street 2:APT C
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45405-1443
Mailing Address - Country:US
Mailing Address - Phone:513-254-1864
Mailing Address - Fax:
Practice Address - Street 1:4180 WENZ CT
Practice Address - Street 2:APT C
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-1443
Practice Address - Country:US
Practice Address - Phone:513-254-1864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-24
Last Update Date:2009-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH128522164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse