Doctor Name: | KAREN GAIL SHELDON |
NPI Number: | 1275697757 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 180566 |
Business Practice Address: | 230 Main St Agawam, MA - 010011838 |
Business Phone Number: | 4137896800 |
Business Fax Number: | 4137895171 |
Mailing Address: | 230 Main St, AGAWAM |
State: | MA |
Postal Code: | 010011838 |
Phone Number: | 4137896800 |
Fax Number: | 4137895171 |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 04/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 180566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |