Provider Demographics
NPI:1770446064
Name:SHEREDY, PATRICIA (LPN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:SHEREDY
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 1:1506 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERHILL
Mailing Address - State:PA
Mailing Address - Zip Code:15958-3312
Mailing Address - Country:US
Mailing Address - Phone:814-495-4484
Mailing Address - Fax:814-495-5579
Practice Address - Street 1:1506 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:SUMMERHILL
Practice Address - State:PA
Practice Address - Zip Code:15958-3312
Practice Address - Country:US
Practice Address - Phone:814-495-4484
Practice Address - Fax:814-495-5579
Is Sole Proprietor?:No
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN319331164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse