Provider Demographics
NPI:1083982912
Name:BROWN, SHEILA M (RN)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:M
Last Name:BROWN
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 1:4432 BAY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-1335
Mailing Address - Country:US
Mailing Address - Phone:716-926-1721
Mailing Address - Fax:716-646-2195
Practice Address - Street 1:4432 BAY VIEW RD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-1335
Practice Address - Country:US
Practice Address - Phone:716-926-1721
Practice Address - Fax:716-646-2195
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY463453-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse