Sheila Bouler, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Mobile, AL
NPI 1467628693 · NPPES record last updated Mar 23, 2015
Key facts
- NPI
- 1467628693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1-142885 (AL)
- Practice address
- 3930 Airport Blvd
Suite F
Mobile, AL 36608-1692 - Phone
- (646) 458-1341
- NPI assigned
- May 7, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-142885 | AL | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1-142885 | AL | Yes |
Addresses
Primary practice location
3930 Airport Blvd
Suite F
Mobile, AL 36608-1692
Mailing address
3930 Airport Blvd
Suite F
Mobile, AL 36608-1692
Phone (646) 458-1341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467628693 | Medicaid | AL |
Other providers in Mobile, AL
- Floyd T Boudreau
- Carole Boudreaux
- Evangeline Simone Boudreaux
- Michael C Boudreaux
- Randall C Boudreaux
- Jane G Boulo
- Jill Griffin Boulo
- Kyiona Boulton
- Karen Sanders Bounds
- Mark Sevan Bourque Jr.
All providers in Mobile, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.