Provider Demographics
NPI:1952011876
Name:COURTNEY, SHEILA KAY (LPN)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:KAY
Last Name:COURTNEY
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 1:2132 YORKVIEW RD SW
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-7563
Mailing Address - Country:US
Mailing Address - Phone:330-987-9911
Mailing Address - Fax:
Practice Address - Street 1:2132 YORKVIEW RD SW
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-7563
Practice Address - Country:US
Practice Address - Phone:330-987-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN092534164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse