Provider Demographics
NPI:1699959312
Name:GIBBS, SHEILA RHENATE (RN)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:RHENATE
Last Name:GIBBS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3143 STIRLING BRG
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8286
Mailing Address - Country:US
Mailing Address - Phone:614-577-9763
Mailing Address - Fax:614-577-9763
Practice Address - Street 1:3143 STIRLING BRG
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8286
Practice Address - Country:US
Practice Address - Phone:614-577-9763
Practice Address - Fax:614-577-9763
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN301402163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical