Provider Demographics
NPI:1518199439
Name:SWOVERLAND, SHEILA MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:MARIE
Last Name:SWOVERLAND
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 1:330 S 12TH ST
Mailing Address - Street 2:SUITE 4710 MC 635
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1004
Mailing Address - Country:US
Mailing Address - Phone:612-348-0173
Mailing Address - Fax:612-632-8592
Practice Address - Street 1:330 S 12TH ST
Practice Address - Street 2:SUITE 4710 MC 635
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-1004
Practice Address - Country:US
Practice Address - Phone:612-348-0173
Practice Address - Fax:612-632-8592
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR69506-2163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health