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General NPI Number Information
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NPI Number | 1073357398
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Entity Type | Individual
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Provider Name | SHEILLA LOUIS NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 2724 N HIAWASSEE RD STE 100
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City | ORLANDO
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State | FL
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Zip | 32818-3003
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Country | US
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Telephone | 407-906-0082
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Fax | 407-604-2606
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Provider Business Mailing Address
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Address Line | 2724 N HIAWASSEE RD STE 100
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City | ORLANDO
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State | FL
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Zip | 32818-3003
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Country | US
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Telephone | 407-906-0082
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Fax | 407-604-2606
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F06241148
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11034580
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License Number State | FL
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