Provider Demographics
NPI:1285957597
Name:PAYEA, SHEILA DIANE (RPH)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:DIANE
Last Name:PAYEA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 N REMPERT RD
Mailing Address - Street 2:
Mailing Address - City:TAWAS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48763-9752
Mailing Address - Country:US
Mailing Address - Phone:989-739-1054
Mailing Address - Fax:989-739-1053
Practice Address - Street 1:5719 N US23
Practice Address - Street 2:
Practice Address - City:OSCODA
Practice Address - State:MI
Practice Address - Zip Code:48750
Practice Address - Country:US
Practice Address - Phone:989-739-1054
Practice Address - Fax:989-739-1053
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302023076183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist