Provider Demographics
NPI:1801158936
Name:URIDIL, SHEILA LYNELLE (APRN-NP)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:LYNELLE
Last Name:URIDIL
Suffix:
Gender:F
Credentials:APRN-NP
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Mailing Address - Street 1:PO BOX 47729
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85068-7729
Mailing Address - Country:US
Mailing Address - Phone:623-934-5600
Mailing Address - Fax:632-934-5603
Practice Address - Street 1:13175 EAST HIGHWAY 169
Practice Address - Street 2:
Practice Address - City:DEWEY
Practice Address - State:AZ
Practice Address - Zip Code:86027
Practice Address - Country:US
Practice Address - Phone:928-632-1155
Practice Address - Fax:928-632-8295
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2012-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE111349363LA2200X
AZAP4742363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health