Doctor Name: | SHEILA VILLINES |
NPI Number: | 1023488418 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 56647 |
Business Practice Address: | 1515 Ne Lawrie Tatum Rd Lawton, OK - 735073002 |
Business Phone Number: | 5803545428 |
Business Fax Number: | |
Mailing Address: | 1515 Ne Lawrie Tatum Rd, LAWTON |
State: | OK |
Postal Code: | 735073002 |
Phone Number: | 5803545428 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2015 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | 56647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |