Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LG0600X | Nurse Practitioner - Gerontology | AG06190257 | TX |
Y | 363LG0600X | Nurse Practitioner - Gerontology | AP142551 | TX |
NPI | 1053969766 |
---|---|
Provider Name | Sheila N Behimehr |
First Address | Dallas, TX 75231-4345 |
Second Address | Dallas, TX 75231-4345 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2019 |
Last Update Date | 27/10/2021 |