Provider Demographics
NPI:1891337747
Name:BRINKMAN, SHEILA R (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:R
Last Name:BRINKMAN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6059
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75608-6059
Mailing Address - Country:US
Mailing Address - Phone:903-918-8520
Mailing Address - Fax:186-684-2164
Practice Address - Street 1:203 ITHACA DR
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-0610
Practice Address - Country:US
Practice Address - Phone:903-918-8520
Practice Address - Fax:866-842-1649
Is Sole Proprietor?:No
Enumeration Date:2019-10-11
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140963207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP140693OtherLICENSE TO PRACTICE