Provider Demographics
NPI:1487442091
Name:SHORTS, CALEY DIANE (LPN)
Entity type:Individual
Prefix:
First Name:CALEY
Middle Name:DIANE
Last Name:SHORTS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:CALEY
Other - Middle Name:DIANE
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1604 COURTSHIP DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8798
Mailing Address - Country:US
Mailing Address - Phone:740-644-0874
Mailing Address - Fax:
Practice Address - Street 1:1604 COURTSHIP DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8798
Practice Address - Country:US
Practice Address - Phone:740-644-0874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH191365164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse