Provider Demographics
NPI:1912283854
Name:ENGLE, SHARON LOUISE (LPN)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LOUISE
Last Name:ENGLE
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 1:16050 STATE ROUTE 550
Mailing Address - Street 2:
Mailing Address - City:FLEMING
Mailing Address - State:OH
Mailing Address - Zip Code:45729-5068
Mailing Address - Country:US
Mailing Address - Phone:740-374-2215
Mailing Address - Fax:
Practice Address - Street 1:16050 STATE ROUTE 550
Practice Address - Street 2:
Practice Address - City:FLEMING
Practice Address - State:OH
Practice Address - Zip Code:45729-5068
Practice Address - Country:US
Practice Address - Phone:740-374-2215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.099177164W00000X
OH099177164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse