Provider Demographics
NPI:1861825739
Name:WOOD-GOUVEIA, SHELAGH KATHRYN (NP)
Entity Type:Individual
Prefix:
First Name:SHELAGH
Middle Name:KATHRYN
Last Name:WOOD-GOUVEIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:ORLANDO VA MEDICAL CENTER
Mailing Address - Street 2:13800 VETERANS WAY
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827
Mailing Address - Country:US
Mailing Address - Phone:407-631-1000
Mailing Address - Fax:401-453-3049
Practice Address - Street 1:1390 EAST BURLEIGH BLVD.
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778
Practice Address - Country:US
Practice Address - Phone:352-253-2900
Practice Address - Fax:407-513-9232
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA206090363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health