Provider Demographics
NPI:1225171267
Name:PRINDIVILLE, SHEILA ANN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:ANN
Last Name:PRINDIVILLE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8517 WHITE POST CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854
Mailing Address - Country:US
Mailing Address - Phone:301-469-7247
Mailing Address - Fax:
Practice Address - Street 1:NATIONAL NAVAL MEDIAL CENTER
Practice Address - Street 2:8901 WISCONSIN AVE
Practice Address - City:BETHEDSA
Practice Address - State:MD
Practice Address - Zip Code:20889
Practice Address - Country:US
Practice Address - Phone:301-295-3899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35175207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology