MISS CARLA ANN SHADE NPI 1053539726

NPI Information

MISS Carla Ann Shade is a home health aide in Mansfield, OH. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. MISS Carla Ann Shade NPI is 1053539726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

462 BARTLEY AVE
MANSFIELD, OH
ZIP 44903
Phone: (419) 747-4702

The enumeration date for this NPI number is 4/20/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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