Provider Demographics
NPI:1982727855
Name:DAWSON, SHEILA A (RN CNOR RNFA)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:A
Last Name:DAWSON
Suffix:
Gender:F
Credentials:RN CNOR RNFA
Other - Prefix:MS
Other - First Name:SHEILA
Other - Middle Name:A
Other - Last Name:KOERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN CNOR RNFA
Mailing Address - Street 1:14620 N FOUNTAIN HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-2328
Mailing Address - Country:US
Mailing Address - Phone:480-710-8815
Mailing Address - Fax:480-837-8192
Practice Address - Street 1:14620 N FOUNTAIN HILLS BLVD
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-2328
Practice Address - Country:US
Practice Address - Phone:480-710-8815
Practice Address - Fax:480-837-8192
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN136333163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant