Provider Demographics
NPI:1407899370
Name:SHELDON, NICHOLE MARIE (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:NICHOLE
Middle Name:MARIE
Last Name:SHELDON
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6639 TRANQUIL SEAS CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-5332
Mailing Address - Country:US
Mailing Address - Phone:702-808-2475
Mailing Address - Fax:
Practice Address - Street 1:9310 SUN CITY BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-1705
Practice Address - Country:US
Practice Address - Phone:702-341-8352
Practice Address - Fax:702-341-8365
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-163231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist