Provider Demographics
NPI:1184602989
Name:MONAGHAN, SHEILA A (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:A
Last Name:MONAGHAN
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 GREENLEY RD
Mailing Address - Street 2:SONORA REGIONAL MEDICAL CENTER PROJECT HOPE
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-5200
Mailing Address - Country:US
Mailing Address - Phone:209-536-5020
Mailing Address - Fax:209-536-3525
Practice Address - Street 1:1000 GREENLEY RD
Practice Address - Street 2:SONORA REGIONAL MEDICAL CENTER PROJECT HOPE
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-5200
Practice Address - Country:US
Practice Address - Phone:209-536-5020
Practice Address - Fax:209-536-3525
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP8426363LF0000X
CARN327824363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ22614ZOtherMEDICARE PART B
MM0527032OtherUSDOJDEA
MM0527032OtherUSDOJDEA
ZZZ22614ZOtherMEDICARE PART B