Provider Demographics
NPI:1265854574
Name:PARRISH, SHEILA T (CRNP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:T
Last Name:PARRISH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:TULLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1088 W BALTIMORE PIKE
Mailing Address - Street 2:SUITE 2500, RIDDLE HEALTH CARE CENTER II
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5146
Mailing Address - Country:US
Mailing Address - Phone:610-565-4107
Mailing Address - Fax:610-565-8349
Practice Address - Street 1:1088 W BALTIMORE PIKE
Practice Address - Street 2:SUITE 2500, RIDDLE HEALTH CARE CENTER II
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5146
Practice Address - Country:US
Practice Address - Phone:610-565-4107
Practice Address - Fax:610-565-8349
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013513363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232359401OtherMLHC TIN