Provider Demographics
NPI:1851698278
Name:SHELDON, ANITA R (RN)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:R
Last Name:SHELDON
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 1:1800 THE GREENS WAY
Mailing Address - Street 2:UNIT 108
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-2451
Mailing Address - Country:US
Mailing Address - Phone:904-373-0230
Mailing Address - Fax:904-373-0230
Practice Address - Street 1:1800 THE GREENS WAY
Practice Address - Street 2:UNIT 108
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-2451
Practice Address - Country:US
Practice Address - Phone:904-373-0230
Practice Address - Fax:904-373-0230
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN669142163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management