Provider Demographics
NPI:1093980682
Name:MUKIAWA-SPANGLER, SHEILA NDI (DNP-FNP-C)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:NDI
Last Name:MUKIAWA-SPANGLER
Suffix:
Gender:F
Credentials:DNP-FNP-C
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:MUKIAWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8857 CINCINNATI DAYTON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-7115
Mailing Address - Country:US
Mailing Address - Phone:513-383-8326
Mailing Address - Fax:513-731-3777
Practice Address - Street 1:8857 CINCINNATI DAYTON RD STE 101
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-7115
Practice Address - Country:US
Practice Address - Phone:513-383-8326
Practice Address - Fax:513-731-3777
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.022659363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPN123410 MEDSOtherLPN