Provider Demographics
NPI:1194212225
Name:RAINEY, SHEILA ELIZABETH
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:ELIZABETH
Last Name:RAINEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5058 INSHORE LANDING DR
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-3436
Mailing Address - Country:US
Mailing Address - Phone:941-448-7844
Mailing Address - Fax:
Practice Address - Street 1:5058 INSHORE LANDING DR
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-3436
Practice Address - Country:US
Practice Address - Phone:941-448-7844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-14
Last Update Date:2018-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency