MEDICARE: SHEELA ISIKWE NP

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	363LF0000X	Family Nurse Practitioner	C-APN.0003346-C-NP	CO
2	363LF0000X	Family Nurse Practitioner	42008	TN
3	363LF0000X	Family Nurse Practitioner	3-003010	AL
4	363LF0000X	Family Nurse Practitioner	AP138078	TX

General Provider Information

NPI Number	:	1144600610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEELA ISIKWE NP

Provider Business Mailing Address
First Line	:	PO BOX 211699
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55121-3699
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:	888-973-8821

Provider Business Practice Location Address
First Line	:	255 NORTHPOINT DR STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-3269
Country	:	US
Telephone Number	:	832-300-8040
Fax Number	:	832-300-8041

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

Provider Enumeration Date	:	05/31/2015
Last Update Date	:	05/12/2026

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