Provider Demographics
NPI:1760403448
Name:FLOOD, SHEILA (NP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:FLOOD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 ALEXANDER ST
Mailing Address - Street 2:SUITE 5500
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-4008
Mailing Address - Country:US
Mailing Address - Phone:585-922-8400
Mailing Address - Fax:585-922-8405
Practice Address - Street 1:220 ALEXANDER ST
Practice Address - Street 2:SUITE 5500
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-4008
Practice Address - Country:US
Practice Address - Phone:585-922-8400
Practice Address - Fax:585-922-8405
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303092363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP25389Medicare UPIN
NYRA0477Medicare ID - Type Unspecified