Provider Demographics
NPI:1821984204
Name:NICHOLSON SLOAN, NEIKA SHAVONNE (RN)
Entity type:Individual
Prefix:
First Name:NEIKA
Middle Name:SHAVONNE
Last Name:NICHOLSON SLOAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NEIKA
Other - Middle Name:
Other - Last Name:SLOAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:25421 W HEATHERMOOR DR
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-2564
Mailing Address - Country:US
Mailing Address - Phone:623-606-8392
Mailing Address - Fax:
Practice Address - Street 1:25421 W HEATHERMOOR DR
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-2564
Practice Address - Country:US
Practice Address - Phone:623-606-8392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN305106163W00000X, 163WA0400X, 163WC0400X, 163WC1500X, 163WC1600X, 163WH0200X, 163WM0705X, 163WP0808X, 163WW0000X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WW0000XNursing Service ProvidersRegistered NurseWound Care