Provider Demographics
NPI:1063040715
Name:NELSON-MEREDITH, SHELIA (RN)
Entity Type:Individual
Prefix:
First Name:SHELIA
Middle Name:
Last Name:NELSON-MEREDITH
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 1:6201 BONHOMME RD STE 468N
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4494
Mailing Address - Country:US
Mailing Address - Phone:713-582-4987
Mailing Address - Fax:713-583-8124
Practice Address - Street 1:6201 BONHOMME RD STE 468N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4494
Practice Address - Country:US
Practice Address - Phone:713-582-4987
Practice Address - Fax:713-583-8124
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX572877163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse