Individual
SHEILA DEWATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 WINTON RD S, ROCHESTER, NY 14618-3970
(585) 368-4719
Mailing address
2000 WINTON RD S, ROCHESTER, NY 14618-3970
(585) 368-4719
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
572950
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
572950
NY
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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