Provider Demographics
NPI:1639636947
Name:TULDANES, SHEILA LYN DE PERIO (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SHEILA LYN
Middle Name:DE PERIO
Last Name:TULDANES
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 BRISTOL BAND LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-6788
Mailing Address - Country:US
Mailing Address - Phone:832-814-2982
Mailing Address - Fax:
Practice Address - Street 1:9006 S FRY RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7861
Practice Address - Country:US
Practice Address - Phone:281-665-3013
Practice Address - Fax:832-913-8163
Is Sole Proprietor?:No
Enumeration Date:2019-02-22
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX854154163W00000X
TXAP140739363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse