Provider Demographics
NPI:1427290659
Name:ARMSTRONG, SHELLEY MARIE (LPN)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:MARIE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 CALVIN DR
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-2855
Mailing Address - Country:US
Mailing Address - Phone:216-642-8852
Mailing Address - Fax:
Practice Address - Street 1:450 CALVIN DR
Practice Address - Street 2:
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-2855
Practice Address - Country:US
Practice Address - Phone:216-642-8852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH115802164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse