Sally Mae Shull-diener
CNP | Nurse Practitioner
4640 W Alexis Rd, Toledo
Ohio, 43623-1006
419-843-8150
Sally Mae Shull-diener is a Toledo, Ohio based nurse practitioner. Active license number of Sally Mae Shull-diener is NP08368 in Ohio. Her current practice location is 4640 W Alexis Rd, Toledo. Patients can reach her at 419-843-8150 or can fax her at 419-479-2579. Sally Mae Shull-diener is CNP and her NPI number (Unique professional ID assigned by NPPES) is 1629028477.
Sally Mae Shull-diener has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Sally Mae Shull-diener speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Sally Mae Shull-diener |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CNP |
| Practice Address: | 4640 W Alexis Rd, Toledo,
Ohio, 43623-1006 |
| Phone: | 419-843-8150 |
| Fax: | 419-479-2579 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1629028477 |
| NPI Enumeration Date: | 11 May, 2006 |
| NPI Last Update On: | 29 Mar, 2011 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sally Mae Shull-diener are as mentioned below.
| License Number | Specialization | State | Status | |
| NP08368 | | Ohio | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Sally Mae Shull-diener such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000475788 | Other | Ohio | ANTHEM |
| 2614559 | Medicaid | Ohio | |
| P00301721 | Other | Ohio | RRMC |
| PENDING | Other | Ohio | ANTHEM |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Sally Mae Shull-diener
4640 W Alexis Rd,
Toledo, Ohio |
| Zip: | 43623-1006 |
| Phone Number: | 419-843-8150 |
| Fax Number: | 419-479-2579 |
Patients can reach Sally Mae Shull-diener at
4640 W Alexis Rd, Toledo, Ohio or can
call to book an appointment on 419-843-8150.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.