Provider Demographics
NPI:1366031601
Name:PALACIOS, SHEILA ANNE (BSN RN OCN)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:ANNE
Last Name:PALACIOS
Suffix:
Gender:F
Credentials:BSN RN OCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 N H ST
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-2942
Mailing Address - Country:US
Mailing Address - Phone:561-603-6298
Mailing Address - Fax:
Practice Address - Street 1:414 N H ST
Practice Address - Street 2:
Practice Address - City:LAKE WORTH BEACH
Practice Address - State:FL
Practice Address - Zip Code:33460-2942
Practice Address - Country:US
Practice Address - Phone:561-603-6298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9347454163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty