Provider Demographics
NPI:1801001656
Name:MOLONY, SHEILA L (APRN)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:L
Last Name:MOLONY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 BROOKSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-3300
Mailing Address - Country:US
Mailing Address - Phone:860-677-4671
Mailing Address - Fax:
Practice Address - Street 1:100 CHURCH ST S
Practice Address - Street 2:SUITE 231
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1703
Practice Address - Country:US
Practice Address - Phone:203-737-5354
Practice Address - Fax:203-785-6455
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTR36577163WG0600X
CT000763363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WG0600XNursing Service ProvidersRegistered NurseGerontology
Not Answered363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTS33429Medicare UPIN