Provider Demographics
NPI:1952156663
Name:ELHUSSEN, SHIEMA
Entity Type:Individual
Prefix:
First Name:SHIEMA
Middle Name:
Last Name:ELHUSSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9810 E COLORADO AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80247-6216
Mailing Address - Country:US
Mailing Address - Phone:303-901-5843
Mailing Address - Fax:
Practice Address - Street 1:9810 E COLORADO AVE APT 201
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80247-6216
Practice Address - Country:US
Practice Address - Phone:303-901-5843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company