Individual
SHEILA KAY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
60 PROFESSIONAL PARK DR, LOUISA, KY 41230-9644
(606) 638-4332
(606) 638-4394
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1048435
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3005329
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000547906
ANTHEM BCBS
—
01
—
11801850
CAQH
—
01
—
610661987016
TRICARE/HEALTHNET
—
05
—
7100146220
—
KY
01
—
9973631
AETNA
—
01
—
APPROVED 4-27-09
LIFESYNCH/HUMANA
—
01
—
P00456562
PALMETTO GBA - RR MCR
—
Enumeration date
08/31/2006
Last updated
11/07/2014
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