Provider Demographics
NPI:1881419984
Name:CROMER, SHAWNDEE LYNN (FAMILY CAREGIVER)
Entity type:Individual
Prefix:
First Name:SHAWNDEE
Middle Name:LYNN
Last Name:CROMER
Suffix:
Gender:F
Credentials:FAMILY CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 377
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:OH
Mailing Address - Zip Code:45052-0377
Mailing Address - Country:US
Mailing Address - Phone:859-779-0387
Mailing Address - Fax:
Practice Address - Street 1:10 BROWER RD APT 205
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:OH
Practice Address - Zip Code:45052-3502
Practice Address - Country:US
Practice Address - Phone:859-779-0387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker