Sheila Darlene Larsen, B. A.

Individual provider Active NPI Case Manager/Care Coordinator · Centerville, TN

NPI 1124156013 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124156013
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
704 Highway 100 Ste 101
Centerville, TN 37033-1172
Phone
(931) 792-3573
Fax
(931) 792-9330
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

704 Highway 100 Ste 101
Centerville, TN 37033-1172

Mailing address

116 Kittrell Rd
Hampshire, TN 38461-5017
Phone (931) 796-5916

Other providers in Centerville, TN

All providers in Centerville, TN · Case Manager/Care Coordinator in Tennessee

Sources for this page

Verify at the official NPI Registry.