Provider Demographics
NPI:1760651459
Name:HEIM, SHEILA M (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:M
Last Name:HEIM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:SHEILA
Other - Middle Name:MARY
Other - Last Name:TWOMBLY-HEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2001 E ORANGETHORPE AVE
Mailing Address - Street 2:UNIT D
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-6759
Mailing Address - Country:US
Mailing Address - Phone:714-524-5545
Mailing Address - Fax:
Practice Address - Street 1:2001 E ORANGETHORPE AVE
Practice Address - Street 2:UNIT D
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-6759
Practice Address - Country:US
Practice Address - Phone:714-524-5545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA269612163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACMM71116FOtherMEDI-CAL