MEDICARE: SHEILA DONELSON-COHEN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	197857	TN

General Provider Information

NPI Number	:	1639591076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA DONELSON-COHEN RN

Provider Business Mailing Address
First Line	:	4975 HIDDEN LAKE DR APT 107
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38128-0959
Country	:	US
Telephone Number	:	901-864-7670
Fax Number	:

Provider Business Practice Location Address
First Line	:	4975 HIDDEN LAKE DR APT 107
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38128-0959
Country	:	US
Telephone Number	:	901-864-7670
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2014
Last Update Date	:	01/18/2014

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