Provider Demographics
NPI:1932549706
Name:WING, SHEILA (RN, CNP)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:
Last Name:WING
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:KRAKLAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:525 MAIN ST W
Mailing Address - Street 2:CENTRACARE HEALTH SYSTEM - MELROSE
Mailing Address - City:MELROSE
Mailing Address - State:MN
Mailing Address - Zip Code:56352-1043
Mailing Address - Country:US
Mailing Address - Phone:320-256-4228
Mailing Address - Fax:320-256-7106
Practice Address - Street 1:525 MAIN ST W
Practice Address - Street 2:CENTRACARE HEALTH SYSTEM - MELROSE
Practice Address - City:MELROSE
Practice Address - State:MN
Practice Address - Zip Code:56352-1043
Practice Address - Country:US
Practice Address - Phone:320-256-4228
Practice Address - Fax:320-256-7106
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR-160074-2363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner