Provider Demographics
NPI:1033563440
Name:HOMOLYA, SHEILA (RN)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:HOMOLYA
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 1:7546 ISABELLA DR APT E
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-7086
Mailing Address - Country:US
Mailing Address - Phone:727-807-3131
Mailing Address - Fax:
Practice Address - Street 1:7546 ISABELLA DR APT E
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-7086
Practice Address - Country:US
Practice Address - Phone:727-807-3131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-21
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9287164163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN9287164OtherFLORIDA BOARD OF NURSING