Provider Demographics
NPI:1457890162
Name:PRICE, SHEILA LYNN (FNP-C)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:LYNN
Last Name:PRICE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6211 BISHOP BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-6465
Mailing Address - Country:US
Mailing Address - Phone:214-768-2161
Mailing Address - Fax:214-768-2151
Practice Address - Street 1:6211 BISHOP BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-7520
Practice Address - Country:US
Practice Address - Phone:214-768-2161
Practice Address - Fax:214-768-2151
Is Sole Proprietor?:No
Enumeration Date:2017-02-14
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132854363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX559804ZSTXMedicare PIN
TX559804ZSTTMedicare PIN
TX559804ZSTUMedicare PIN