NPI Code Details Logo

NPI 1154369080

NPI 1154369080 : SHEILA L WARD-ADCOCK CRNA : BIRMINGHAM, AL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1154369080
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SHEILA L WARD-ADCOCK CRNA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/03/2006
-----------------------------------------------------
    Last Update Date     |    08/21/2019
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1720 UNIVERSITY BLVD 
-----------------------------------------------------
    City                 |    BIRMINGHAM
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    35233-1816
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    205-325-8500
-----------------------------------------------------
    Fax                  |    205-325-8809
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 660685 
-----------------------------------------------------
    City                 |    BIRMINGHAM
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    35266-0685
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    205-979-5882
-----------------------------------------------------
    Fax                  |    205-979-1248
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    367500000X
-----------------------------------------------------
    Taxonomy Name        |    Certified Registered Nurse Anesthetist
-----------------------------------------------------
    License Number       |    R111181
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    367500000X
-----------------------------------------------------
    Taxonomy Name        |    Certified Registered Nurse Anesthetist
-----------------------------------------------------
    License Number       |    1-026601
-----------------------------------------------------
    License Number State |    AL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    163W00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Nurse
-----------------------------------------------------
    License Number       |    1-026601
-----------------------------------------------------
    License Number State |    AL
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    367500000X
-----------------------------------------------------
    Taxonomy Name        |    Certified Registered Nurse Anesthetist
-----------------------------------------------------
    License Number       |    RN111181
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.