Provider Demographics
NPI:1679764211
Name:HOLLINS, SHELDON LEONARD (APRN)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:LEONARD
Last Name:HOLLINS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 W RIVER RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06088-1749
Mailing Address - Country:US
Mailing Address - Phone:860-385-1062
Mailing Address - Fax:860-786-4498
Practice Address - Street 1:6 W RIVER RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06088-1749
Practice Address - Country:US
Practice Address - Phone:860-385-1062
Practice Address - Fax:860-786-4498
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA270356364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent