Provider Demographics
NPI:1073848206
Name:SARGENT, SHEILA RENEE (RN)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:RENEE
Last Name:SARGENT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 VALLEY VIEW CT
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-1538
Mailing Address - Country:US
Mailing Address - Phone:608-712-8139
Mailing Address - Fax:
Practice Address - Street 1:110 VALLEY VIEW CT
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-1538
Practice Address - Country:US
Practice Address - Phone:608-712-8139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI169617-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse