Provider Demographics
NPI:1437745692
Name:TEVES, SHEILA MERIOLES (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:MERIOLES
Last Name:TEVES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15423 ELM SQUARE ST
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5565
Mailing Address - Country:US
Mailing Address - Phone:713-825-7002
Mailing Address - Fax:281-746-2272
Practice Address - Street 1:15423 ELM SQUARE ST
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5565
Practice Address - Country:US
Practice Address - Phone:713-825-7002
Practice Address - Fax:281-746-2272
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1021653363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily