Provider Demographics
NPI:1558968404
Name:DULEY, SHEILA FAYE
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:FAYE
Last Name:DULEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MARIE LN
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:26181-8743
Mailing Address - Country:US
Mailing Address - Phone:843-698-0137
Mailing Address - Fax:
Practice Address - Street 1:240 MARIE LN
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:WV
Practice Address - Zip Code:26181-8743
Practice Address - Country:US
Practice Address - Phone:843-698-0137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant