MEDICARE: SHEENA WESLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant	67783601	PA

General Provider Information

NPI Number	:	1427767565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEENA WESLEY

Provider Business Mailing Address
First Line	:	135 TRUPENNY TURN
Second Line	:
City	:	MIDDLETOWN
State	:	DE
Zip	:	19709-8621
Country	:	US
Telephone Number	:	302-293-1783
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 FAIRMOUNT AVE
Second Line	:	3RD FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-2641
Country	:	US
Telephone Number	:	302-293-1783
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2022
Last Update Date	:	11/17/2022

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Directions to “ SHEENA WESLEY ” Practice Location

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