Healthcare Provider Details

I. General information

NPI: 1912413758
Provider Name (Legal Business Name): SHEILAH HESSION DOOLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2017
Last Update Date: 12/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 MILLBURY ST
WORCESTER MA
01610-2177
US

IV. Provider business mailing address

237 MILLBURY ST
WORCESTER MA
01610-2177
US

V. Phone/Fax

Practice location:
  • Phone: 508-755-1228
  • Fax: 508-797-3477
Mailing address:
  • Phone: 508-755-1228
  • Fax: 508-797-3477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number142743
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: