Provider Demographics
NPI:1750092300
Name:OLIVER, SHEILA (BSN, RN)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:OLIVER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 244
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98041-0244
Mailing Address - Country:US
Mailing Address - Phone:206-280-8963
Mailing Address - Fax:206-420-5591
Practice Address - Street 1:7659 LATONA AVE NE UNIT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-4047
Practice Address - Country:US
Practice Address - Phone:206-492-4782
Practice Address - Fax:206-238-9797
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61309631163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management