Provider Demographics
NPI:1376341461
Name:BROWN-SHELLING, SENRAY SACHAE (NA)
Entity type:Individual
Prefix:
First Name:SENRAY
Middle Name:SACHAE
Last Name:BROWN-SHELLING
Suffix:
Gender:F
Credentials:NA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4010 GOLDEN ROD DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-8403
Mailing Address - Country:US
Mailing Address - Phone:216-466-4830
Mailing Address - Fax:
Practice Address - Street 1:4010 GOLDEN ROD DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-8403
Practice Address - Country:US
Practice Address - Phone:216-466-4830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA0008943362376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide