Makayla Shea, LPN
Licensed Practical Nurse in Warren, OH. Individual provider (NPI-1).
NPI number1639748874
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1639748874
- Entity type
- Individual (NPI-1)
- Name
- Makayla Shea
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 172085 | OH | Yes |
Practice location
4930 Enterprise Dr NwWarren, OH 44481-8706
Phone 330-787-0955
Mailing address
4930 Enterprise Dr NwWarren, OH 44481-8706
Phone 330-787-0955
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