Provider Demographics
NPI:1861768194
Name:COOKHORN, SHEILA PATRICIA (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:PATRICIA
Last Name:COOKHORN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:SHEILA
Other - Middle Name:PATRICIA
Other - Last Name:COOKHORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6270 NW 18TH ST.
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33313
Mailing Address - Country:US
Mailing Address - Phone:954-485-8471
Mailing Address - Fax:954-788-8874
Practice Address - Street 1:6270 NW 18TH STREET
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33313
Practice Address - Country:US
Practice Address - Phone:954-485-8471
Practice Address - Fax:954-733-8874
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9175469163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse