Provider Demographics
NPI:1568937076
Name:HEALEY, SINEAD (AGACNP -BC)
Entity Type:Individual
Prefix:
First Name:SINEAD
Middle Name:
Last Name:HEALEY
Suffix:
Gender:F
Credentials:AGACNP -BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1619 E COMMON ST
Mailing Address - Street 2:# L-1201
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3452
Mailing Address - Country:US
Mailing Address - Phone:315-427-5121
Mailing Address - Fax:
Practice Address - Street 1:221 SCENIC VIS
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-3474
Practice Address - Country:US
Practice Address - Phone:315-427-5121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-11
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137616363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care