Healthcare Provider Details

I. General information

NPI: 1174749832
Provider Name (Legal Business Name): SHEILA J. NOVOSEL R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7775 CELLA DR
CINCINNATI OH
45239-4107
US

IV. Provider business mailing address

7775 CELLA DR
CINCINNATI OH
45239-4107
US

V. Phone/Fax

Practice location:
  • Phone: 513-741-7149
  • Fax: 513-741-7141
Mailing address:
  • Phone: 513-741-7149
  • Fax: 513-741-7141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN.110777
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: