Provider Demographics
NPI:1821635905
Name:SHELDON, SADIE ELIZABETH (BSN, RN, PHN)
Entity Type:Individual
Prefix:
First Name:SADIE
Middle Name:ELIZABETH
Last Name:SHELDON
Suffix:
Gender:F
Credentials:BSN, RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3227 CANYON VIEW DR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92058-7481
Mailing Address - Country:US
Mailing Address - Phone:760-587-9697
Mailing Address - Fax:
Practice Address - Street 1:3227 CANYON VIEW DR
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92058-7481
Practice Address - Country:US
Practice Address - Phone:760-587-9697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-07
Last Update Date:2019-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95135857163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse