Provider Demographics
NPI:1528829116
Name:WORSTELL, SHELBI
Entity type:Individual
Prefix:
First Name:SHELBI
Middle Name:
Last Name:WORSTELL
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 1:16586 STATE ROUTE 60
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:OH
Mailing Address - Zip Code:45744-7473
Mailing Address - Country:US
Mailing Address - Phone:740-525-1807
Mailing Address - Fax:
Practice Address - Street 1:16586 STATE ROUTE 60
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:OH
Practice Address - Zip Code:45744-7473
Practice Address - Country:US
Practice Address - Phone:740-525-1807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care