Provider Demographics
NPI:1932895877
Name:BAIR, SHEILA M (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:M
Last Name:BAIR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 SE 21ST TER
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:FL
Mailing Address - Zip Code:32693-5212
Mailing Address - Country:US
Mailing Address - Phone:530-276-1774
Mailing Address - Fax:
Practice Address - Street 1:1809 SE 21ST TER
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:FL
Practice Address - Zip Code:32693-5212
Practice Address - Country:US
Practice Address - Phone:530-276-1774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11025815363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily