Sheila Ann Wooten, LPN
Individual provider Active NPI Licensed Practical Nurse · Lockbourne, OH
NPI 1710296124 · NPPES record last updated Oct 3, 2010
Key facts
- NPI
- 1710296124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN.128485-M-IV (OH)
- Practice address
- 1288 Rohr Rd
Lockbourne, OH 43137-9251 - Phone
- (614) 499-7564
- NPI assigned
- Oct 3, 2010
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN.128485-M-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.128485-M-IV | OH | Yes |
Addresses
Primary practice location
1288 Rohr Rd
Lockbourne, OH 43137-9251
Mailing address
1288 Rohr Rd
Lockbourne, OH 43137-9251
Phone (614) 499-7564
Other providers in Lockbourne, OH
- Pillpack LLC
- Radiant Health Services LLC
- Gabriella Rodriguez
- Alicia R Schoneboom
- Pamela Shiwo Ntiengeya Epse Ngen
All providers in Lockbourne, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2010. 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.