Provider Demographics
NPI:1912461401
Name:FRODERMANN, SHEILA MARIE (MS, ND, DHANP)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:MARIE
Last Name:FRODERMANN
Suffix:
Gender:F
Credentials:MS, ND, DHANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 WATERMAN STREET
Mailing Address - Street 2:SUITE #3
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906
Mailing Address - Country:US
Mailing Address - Phone:401-455-0546
Mailing Address - Fax:401-751-4165
Practice Address - Street 1:144 WATERMAN STREET
Practice Address - Street 2:SUITE #3
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906
Practice Address - Country:US
Practice Address - Phone:401-455-0546
Practice Address - Fax:401-751-4165
Is Sole Proprietor?:No
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI000002175L00000X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No175L00000XOther Service ProvidersHomeopath