Individual
BRENDA SHEETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 W HIGH ST STE 160, LIMA, OH 45801-5900
(419) 996-4960
(419) 996-5276
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
021353
OH
363LF0000X
Family Nurse Practitioner
A070535
IA
Other
Enumeration date
09/19/2014
Last updated
09/11/2017
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