Provider Demographics
NPI:1154921435
Name:SCARBERRY, SHEILA NANCY
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:NANCY
Last Name:SCARBERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9452 SCARBERRY LN
Mailing Address - Street 2:
Mailing Address - City:ONA
Mailing Address - State:WV
Mailing Address - Zip Code:25545-9591
Mailing Address - Country:US
Mailing Address - Phone:304-373-6606
Mailing Address - Fax:
Practice Address - Street 1:9452 SCARBERRY LN
Practice Address - Street 2:
Practice Address - City:ONA
Practice Address - State:WV
Practice Address - Zip Code:25545-9591
Practice Address - Country:US
Practice Address - Phone:304-373-6606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant