Healthcare Provider Details

I. General information

NPI: 1538546049
Provider Name (Legal Business Name): SHELLY ANN LEHMANN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2015
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 E COUNTY ROAD 73
FREMONT OH
43420-8914
US

IV. Provider business mailing address

605 3RD AVE
FREMONT OH
43420-3269
US

V. Phone/Fax

Practice location:
  • Phone: 419-307-0969
  • Fax:
Mailing address:
  • Phone: 419-355-8070
  • Fax: 419-355-1109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA17291-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: