Provider Demographics
NPI:1225169030
Name:SHAPIRO, SHEILA ANN (WHCNP)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:ANN
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 1ST AVE WEST
Mailing Address - Street 2:FLATHEAD COMMUNITY HEALTH CENTER
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-5607
Mailing Address - Country:US
Mailing Address - Phone:406-751-8113
Mailing Address - Fax:406-751-8151
Practice Address - Street 1:1035 1ST AVE WEST
Practice Address - Street 2:FLATHEAD COMMUNITY HEALTH CENTER
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-5607
Practice Address - Country:US
Practice Address - Phone:406-751-8113
Practice Address - Fax:406-751-8151
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN12999363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0435084Medicaid
MT37013OtherBCBS
MT94416024OtherBCHP
MT94416024OtherBCHP
MT80384Medicare ID - Type Unspecified