Doctor Name: | SHEILA HOLDREN |
NPI Number: | 1730486358 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN RDCS |
License Number: | 110645 |
Business Practice Address: | 505 16th St Silvis, IL - 612822624 |
Business Phone Number: | 5635081661 |
Business Fax Number: | |
Mailing Address: | 505 16th St, SILVIS |
State: | IL |
Postal Code: | 612822624 |
Phone Number: | 5635081661 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2011 |
NPI Last Update Date: | 02/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XS1301X |
License Number: | 110645 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |