Provider Demographics
NPI:1750006581
Name:THURMOND, SHEALA VERNICE (RN)
Entity type:Individual
Prefix:
First Name:SHEALA
Middle Name:VERNICE
Last Name:THURMOND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 TOWNE COMMONS WAY APT 21
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-6136
Mailing Address - Country:US
Mailing Address - Phone:513-886-4898
Mailing Address - Fax:
Practice Address - Street 1:51 TOWNE COMMONS WAY APT 21
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-6136
Practice Address - Country:US
Practice Address - Phone:513-886-4898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1174652163W00000X
OHRN337466163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse