Healthcare Provider Details

I. General information

NPI: 1063751394
Provider Name (Legal Business Name): SHEILA S FREEMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2013
Last Update Date: 02/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 LAYTON AVE STE 10
MONROE LA
71201-8548
US

IV. Provider business mailing address

363 PINE HILLS DR
CALHOUN LA
71225-9536
US

V. Phone/Fax

Practice location:
  • Phone: 318-807-0233
  • Fax: 318-651-7422
Mailing address:
  • Phone: 318-381-5501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN034939
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: