Provider Demographics
NPI:1821337932
Name:WETHERELL, SHEILA BRENNAN (FNP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:BRENNAN
Last Name:WETHERELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 N HILL DR STE 202
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2677
Mailing Address - Country:US
Mailing Address - Phone:540-347-0180
Mailing Address - Fax:
Practice Address - Street 1:45 N HILL DR STE 202
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2677
Practice Address - Country:US
Practice Address - Phone:540-347-0180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170488363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily