Provider Demographics
NPI:1568125672
Name:HOPKINS, SHIELA MARIE (CRNP-PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:SHIELA
Middle Name:MARIE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:CRNP-PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:PA
Mailing Address - Zip Code:15853-1819
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:50 BIGLER ROAD
Practice Address - Street 2:
Practice Address - City:BIGLER
Practice Address - State:PA
Practice Address - Zip Code:16825-1683
Practice Address - Country:US
Practice Address - Phone:814-342-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024377363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health