Provider Demographics
NPI:1184319295
Name:TAYLOR, SHEILA
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:TAYLOR
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 1:1118 EASTERN AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-4033
Mailing Address - Country:US
Mailing Address - Phone:240-461-0181
Mailing Address - Fax:
Practice Address - Street 1:111 65TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON DC
Practice Address - State:CT
Practice Address - Zip Code:20019
Practice Address - Country:US
Practice Address - Phone:202-812-5936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant