Provider Demographics
NPI:1932525466
Name:SCHEETZ, PATRICIA DIANNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:DIANNE
Last Name:SCHEETZ
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 1:2525 - 19TH ST. N.E.
Mailing Address - Street 2:ALTITUDE ACADEMY AT CRENSHAW
Mailing Address - City:CANTON OHIO
Mailing Address - State:OH
Mailing Address - Zip Code:44715
Mailing Address - Country:US
Mailing Address - Phone:330-454-7717
Mailing Address - Fax:330-588-2120
Practice Address - Street 1:2525 - 19TH ST. N.E.
Practice Address - Street 2:ALTITUDE ACADEMY AT CRENSHAW
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44715
Practice Address - Country:US
Practice Address - Phone:330-454-7717
Practice Address - Fax:330-588-2120
Is Sole Proprietor?:No
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN112735163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse