Provider Demographics
NPI:1548372246
Name:SEMBRIC, SHIRLEE ANNE (LPN)
Entity type:Individual
Prefix:MRS
First Name:SHIRLEE
Middle Name:ANNE
Last Name:SEMBRIC
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:SHIRLEE
Other - Middle Name:ANN
Other - Last Name:SEMBRIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:3743 WILLOW RUN
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145
Mailing Address - Country:US
Mailing Address - Phone:440-734-2827
Mailing Address - Fax:
Practice Address - Street 1:841 TOLLIS PARKWAY
Practice Address - Street 2:
Practice Address - City:BROADVIEW HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44147-1834
Practice Address - Country:US
Practice Address - Phone:440-230-2252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN027601164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse