Provider Demographics
NPI:1720091176
Name:SADDI, SHEILA M (LVN)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:M
Last Name:SADDI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:M
Other - Last Name:FONTECHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:133 AHUNA CT UNIT 101
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-6212
Mailing Address - Country:US
Mailing Address - Phone:808-664-5855
Mailing Address - Fax:
Practice Address - Street 1:133 AHUNA CT UNIT 101
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-6212
Practice Address - Country:US
Practice Address - Phone:808-664-5855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI14653164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse