Sheryl L Clonch, RN, LSW
Individual provider Active NPI Registered Nurse · Rushville, OH
NPI 1508016262 · NPPES record last updated Aug 21, 2012
Key facts
- NPI
- 1508016262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN 342238 (OH)
- Practice address
- 4777 Logan Thornville Rd NE
Rushville, OH 43150-9751 - Phone
- (740) 536-7905
- NPI assigned
- Sep 30, 2008
- 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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S 0010463 | OH | MD | Clinical Social Worker |
| RN 342238 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S 0010463 | OH | |
| Registered Nurse | 163W00000X | RN 342238 | OH | Yes |
Addresses
Primary practice location
4777 Logan Thornville Rd NE
Rushville, OH 43150-9751
Mailing address
4777 Logan Thornville Rd NE
P.O. Box 238
Rushville, OH 43150-9751
Phone (740) 536-7905
Other providers in Rushville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.