Provider Demographics
NPI:1386253235
Name:THARAPPEL, SHEEJA MATHEWS
Entity type:Individual
Prefix:MRS
First Name:SHEEJA
Middle Name:MATHEWS
Last Name:THARAPPEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4626 RIVERSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6141
Mailing Address - Country:US
Mailing Address - Phone:281-403-6218
Mailing Address - Fax:281-403-6206
Practice Address - Street 1:4626 RIVERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6141
Practice Address - Country:US
Practice Address - Phone:281-403-6218
Practice Address - Fax:281-403-6206
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1019616363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily