Provider Demographics
NPI:1669133476
Name:DONAGHY, SHEILA MARY (RN, BSN MBA)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:MARY
Last Name:DONAGHY
Suffix:
Gender:F
Credentials:RN, BSN MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 933
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-0933
Mailing Address - Country:US
Mailing Address - Phone:631-649-6004
Mailing Address - Fax:631-475-0008
Practice Address - Street 1:95 E MASEM SQ
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-5630
Practice Address - Country:US
Practice Address - Phone:631-649-6004
Practice Address - Fax:631-475-0008
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY393610163WD1100X, 163WH0200X, 163WM0705X, 163WN0300X, 163W00000X, 163WA2000X, 163WC0400X
NY3936163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrology
No163WD1100XNursing Service ProvidersRegistered NurseDialysis, Peritoneal
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH0500XNursing Service ProvidersRegistered NurseHemodialysis
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WC0400XNursing Service ProvidersRegistered NurseCase Management