Provider Demographics
NPI:1376889824
Name:KOHLS, SHEILA (RN)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:
Last Name:KOHLS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3311 NE 60TH ST
Mailing Address - Street 2:BRYANT ELEMENTARY
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-7318
Mailing Address - Country:US
Mailing Address - Phone:206-252-5200
Mailing Address - Fax:206-252-5201
Practice Address - Street 1:3311 NE 60TH ST
Practice Address - Street 2:BRYANT ELEMENTARY
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-7318
Practice Address - Country:US
Practice Address - Phone:206-252-5200
Practice Address - Fax:206-252-5201
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00061525163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse