Claudia Lee Shellabarger

Individual provider Active NPI Licensed Practical Nurse · Medway, OH

NPI 1922765874 · NPPES record last updated Nov 24, 2021

Key facts

NPI
1922765874
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN.53703.MED-IV (OH)
Practice address
9541 Lower Valley Pike
Medway, OH 45341-9748
Phone
(937) 849-0327
NPI assigned
Nov 24, 2021
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

LicenseStateTypeSpecialty
LPN.53703.MED-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
164W00000X LPN.53703.MED-IV OH Yes

Addresses

Primary practice location

9541 Lower Valley Pike
Medway, OH 45341-9748

Mailing address

9541 Lower Valley Pike
Medway, OH 45341-9748
Phone (937) 849-0327

Other providers in Medway, OH

All providers in Medway, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.