Provider Demographics
NPI:1538317524
Name:CHOPPALA-NESTOR, SHEELA M (PHD, PMHNP-BC, ARNP)
Entity Type:Individual
Prefix:
First Name:SHEELA
Middle Name:M
Last Name:CHOPPALA-NESTOR
Suffix:
Gender:F
Credentials:PHD, PMHNP-BC, ARNP
Other - Prefix:
Other - First Name:SHEELA
Other - Middle Name:M
Other - Last Name:CHOPPALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2600 F STREET
Mailing Address - Street 2:SUITE 305
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663
Mailing Address - Country:US
Mailing Address - Phone:360-448-7827
Mailing Address - Fax:503-914-1404
Practice Address - Street 1:2600 F STREET
Practice Address - Street 2:SUITE 305
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663
Practice Address - Country:US
Practice Address - Phone:360-448-7827
Practice Address - Fax:503-914-1404
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP600357772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry