Provider Demographics
NPI:1902128994
Name:BOLLING, SHEILA THOMAS (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:THOMAS
Last Name:BOLLING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USAHC BAMBERG
Mailing Address - Street 2:CMR 459 BOX 09713
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09139-9713
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:USAHC BAMBERG
Practice Address - Street 2:CMR 459 BOX 09713
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09139-9713
Practice Address - Country:US
Practice Address - Phone:0951-300-7984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC204602163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management