Provider Demographics
NPI:1598362162
Name:HALL, SHEILA (RN FIRST ASSIST)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:RN FIRST ASSIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 PULLMAN DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-7921
Mailing Address - Country:US
Mailing Address - Phone:775-432-1343
Mailing Address - Fax:775-324-0858
Practice Address - Street 1:1441 PULLMAN DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-7921
Practice Address - Country:US
Practice Address - Phone:775-432-1343
Practice Address - Fax:775-324-0858
Is Sole Proprietor?:No
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN11653163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant