Provider Demographics
NPI:1366922551
Name:HURD, SHEILA ANN (PMHNP)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:ANN
Last Name:HURD
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:ANN
Other - Last Name:HURD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SHEILA COYLE
Mailing Address - Street 1:1925 RAYMOND AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-3513
Mailing Address - Country:US
Mailing Address - Phone:406-543-6317
Mailing Address - Fax:
Practice Address - Street 1:35401 MISSION DR
Practice Address - Street 2:
Practice Address - City:SAINT IGNATIUS
Practice Address - State:MT
Practice Address - Zip Code:59865-7791
Practice Address - Country:US
Practice Address - Phone:406-745-3525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT20773363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health