Provider Demographics
NPI:1396834891
Name:VIRGIN, SHEILA ELIZABETH (DSN, ARNP, FNP,BC)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:ELIZABETH
Last Name:VIRGIN
Suffix:
Gender:F
Credentials:DSN, ARNP, FNP,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-1592
Mailing Address - Country:US
Mailing Address - Phone:859-979-0948
Mailing Address - Fax:859-623-1633
Practice Address - Street 1:239 W MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-1592
Practice Address - Country:US
Practice Address - Phone:859-979-0948
Practice Address - Fax:859-623-1633
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2304P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYS89812Medicare UPIN