Provider Demographics
NPI:1285981126
Name:ANWAH, SHEILA ADAIBA
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:ADAIBA
Last Name:ANWAH
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:OBIESIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-C
Mailing Address - Street 1:160 WISTERIA DR
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:AL
Mailing Address - Zip Code:35043-9662
Mailing Address - Country:US
Mailing Address - Phone:205-218-1483
Mailing Address - Fax:
Practice Address - Street 1:160 WISTERIA DR
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:AL
Practice Address - Zip Code:35043-9662
Practice Address - Country:US
Practice Address - Phone:205-218-1483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-101200163W00000X, 363LA2200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health