Provider Demographics
NPI:1730802521
Name:ALBERT, SHENEE SIERRA
Entity type:Individual
Prefix:
First Name:SHENEE
Middle Name:SIERRA
Last Name:ALBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 GENEVA AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43609
Mailing Address - Country:US
Mailing Address - Phone:567-868-8454
Mailing Address - Fax:
Practice Address - Street 1:741 GENEVA AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43609
Practice Address - Country:US
Practice Address - Phone:567-868-8454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide