Provider Demographics
NPI:1588543235
Name:LEAGUE, SHEILENA ANN MARIE
Entity type:Individual
Prefix:
First Name:SHEILENA
Middle Name:ANN MARIE
Last Name:LEAGUE
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6470 19TH ST W APT E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98466-6196
Mailing Address - Country:US
Mailing Address - Phone:253-343-8945
Mailing Address - Fax:
Practice Address - Street 1:7024 27TH ST W STE B
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-5216
Practice Address - Country:US
Practice Address - Phone:253-343-8945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula