Devona K Shelton, LPN
Individual provider Active NPI Licensed Practical Nurse · Winchester, OH
NPI 1740534874 · NPPES record last updated Oct 26, 2012
Key facts
- NPI
- 1740534874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 150425-M-IV (OH)
- Practice address
- 22410 State Route 136
Winchester, OH 45697-9733 - Phone
- (937) 695-0024
- NPI assigned
- Oct 26, 2012
- 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 |
|---|---|---|---|
| 150425-M-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 150425-M-IV | OH | Yes |
Addresses
Primary practice location
22410 State Route 136
Winchester, OH 45697-9733
Mailing address
22410 State Route 136
Winchester, OH 45697-9733
Phone (937) 695-0024
Other providers in Winchester, OH
- Dennis R Rogers
- Misti Rogers
- Jessica Rae Ross
- Whitney Ruble
- Brianna Schneider
- Amul V. Shukla
- Marcia L Silcott
- Southern Hills Therapy Services
- Southern Hills Therapy Services LLC
- Tonya M Stamper
All providers in Winchester, 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 26, 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.