Provider Demographics
NPI:1003216078
Name:ONYANCHA, SHEILA (RN)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:ONYANCHA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 E SAINT GERMAIN ST APT 210
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56304-4706
Mailing Address - Country:US
Mailing Address - Phone:612-501-9695
Mailing Address - Fax:
Practice Address - Street 1:1027 E SAINT GERMAIN ST APT 210
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56304-4706
Practice Address - Country:US
Practice Address - Phone:612-501-9695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR214337-6163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse