Individual
NAOMI SHIFFERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
769 SUNSET BLVD APT 1, MANSFIELD, OH 44907-2659
(419) 566-4012
Mailing address
769 SUNSET BLVD APT 1, MANSFIELD, OH 44907-2659
(419) 566-4012
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106278
INDIVIDUAL PROVIDER
OH
Enumeration date
07/24/2006
Last updated
12/18/2023
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