Elmendorf, Sheila Kay

Elmendorf, Sheila Kay is an individual health care provider with primary practice located at 2175 Chambliss Ave Nw Suite D, Cleveland TN 37311-3842. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Elmendorf, Sheila Kay can be contacted via phone (423) 472-1140.

Contact Information

Primary practice address
2175 Chambliss Ave Nw Suite D Cleveland TN 37311-3842
Phone: (423) 472-1140
Fax: (423) 339-2242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000005344 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APN0000005344 Tennessee

Profile Details

NPI number 1851575989
LBN Legal business name Elmendorf, Sheila Kay
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Dec 2nd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851575989 NPPES
Tennessee Other 11976212 CAQH
Tennessee MEDICAID 1514544 CAQH
Tennessee Other 4234354 CAQH
Tennessee Other APN0000005344 CAQH

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