Provider Demographics
NPI:1396360699
Name:MCCOOL, SHEILA THERESE (CAREGIVER)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:THERESE
Last Name:MCCOOL
Suffix:
Gender:F
Credentials:CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10121 EVERGREEN WAY STE 25179
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-3885
Mailing Address - Country:US
Mailing Address - Phone:206-331-5259
Mailing Address - Fax:
Practice Address - Street 1:10121 EVERGREEN WAY STE 25179
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-3885
Practice Address - Country:US
Practice Address - Phone:206-331-5259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No171000000XOther Service ProvidersMilitary Health Care Provider