Provider Demographics
NPI:1538934757
Name:SEVIER, DELNEISHEA
Entity type:Individual
Prefix:
First Name:DELNEISHEA
Middle Name:
Last Name:SEVIER
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 1:6740 OSBORNE AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46323-1403
Mailing Address - Country:US
Mailing Address - Phone:219-951-2853
Mailing Address - Fax:
Practice Address - Street 1:6740 OSBORNE AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46323-1403
Practice Address - Country:US
Practice Address - Phone:219-951-2853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNA93098376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide