Provider Demographics
NPI:1366978280
Name:SCHMIDT, SHERYLE KAY (LPN)
Entity type:Individual
Prefix:
First Name:SHERYLE
Middle Name:KAY
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:SHERYLE
Other - Middle Name:KAY
Other - Last Name:OSWALD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:5167 KETUKKEE TRL
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43611-1624
Mailing Address - Country:US
Mailing Address - Phone:419-265-6550
Mailing Address - Fax:
Practice Address - Street 1:701 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-6955
Practice Address - Country:US
Practice Address - Phone:419-725-3405
Practice Address - Fax:419-321-6459
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN056450164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse