Provider Demographics
NPI:1851945661
Name:WEBER, SHEILA CAROLE
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:CAROLE
Last Name:WEBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8804 SAIL BAY DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2307
Mailing Address - Country:US
Mailing Address - Phone:702-328-1560
Mailing Address - Fax:
Practice Address - Street 1:8804 SAIL BAY DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2307
Practice Address - Country:US
Practice Address - Phone:702-328-1560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant