Provider Demographics
NPI:1851639215
Name:DONAHUE, SHEILA MAE (RN)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:MAE
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17818 JOHN CONNOR RD
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-7659
Mailing Address - Country:US
Mailing Address - Phone:321-258-6544
Mailing Address - Fax:
Practice Address - Street 1:17818 JOHN CONNOR RD
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-7659
Practice Address - Country:US
Practice Address - Phone:321-258-6544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-19
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC243316163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse