MEDICARE: SHEILA ONYANCHA 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	R214337-6	MN
2	163WH0200X	Home Health Registered Nurse	R214337-6	MN

General Provider Information

NPI Number	:	1003216078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA ONYANCHA RN

Provider Business Mailing Address
First Line	:	1027 E SAINT GERMAIN ST APT 210
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56304-4706
Country	:	US
Telephone Number	:	612-501-9695
Fax Number	:

Provider Business Practice Location Address
First Line	:	1027 E SAINT GERMAIN ST APT 210
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56304-4706
Country	:	US
Telephone Number	:	612-501-9695
Fax Number	:

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

Provider Enumeration Date	:	08/27/2014
Last Update Date	:	08/27/2014

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