Provider Demographics
NPI:1215742283
Name:SHEFFIELD, LAURAETTA DENISE
Entity type:Individual
Prefix:
First Name:LAURAETTA
Middle Name:DENISE
Last Name:SHEFFIELD
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 1:41069 CANTON CT BLDG 6
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-1463
Mailing Address - Country:US
Mailing Address - Phone:734-203-9653
Mailing Address - Fax:
Practice Address - Street 1:41069 CANTON CT BLDG 6
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-1463
Practice Address - Country:US
Practice Address - Phone:734-203-9653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide