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SHEILA MICHELLE FASZOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1109 HARTMAN LN STE 200, SHILOH, IL 62221-7916
(314) 920-2415
Mailing address
1109 HARTMAN LN STE 200, SHILOH, IL 62221-7916

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0050210
DE
163WE0003X
Emergency Registered Nurse
Primary
041411990
IL
251G00000X
Community Based Hospice Care Agency

Other

Enumeration date
04/15/2017
Last updated
02/27/2026
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