Provider Demographics
NPI:1346972908
Name:MARY, SHEILA (ND, MPH)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:MARY
Suffix:
Gender:F
Credentials:ND, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7512 NE BOTHELL WAY APT 204
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-3556
Mailing Address - Country:US
Mailing Address - Phone:425-780-8373
Mailing Address - Fax:
Practice Address - Street 1:7512 NE BOTHELL WAY APT 204
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-3556
Practice Address - Country:US
Practice Address - Phone:425-780-8373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No175F00000XOther Service ProvidersNaturopath