Individual
MRS. SHEILA ANN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
94043 LOOP RD, FORT HOOD, TX 76549
(254) 288-9265
Mailing address
1811 RALLY LN, HARKER HEIGHTS, TX 76548-6032
(240) 476-7065
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363LF0000X
Family Nurse Practitioner
0039513
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
NURU1339
AK
Other
Enumeration date
08/09/2011
Last updated
11/05/2021
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