Provider Demographics
NPI:1548145766
Name:NELSON, SHEILA MARIE
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:MARIE
Last Name:NELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 626
Mailing Address - Street 2:
Mailing Address - City:HAWLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56549-0626
Mailing Address - Country:US
Mailing Address - Phone:218-486-4663
Mailing Address - Fax:218-486-5327
Practice Address - Street 1:PO BOX 626
Practice Address - Street 2:
Practice Address - City:HAWLEY
Practice Address - State:MN
Practice Address - Zip Code:56549-0626
Practice Address - Country:US
Practice Address - Phone:218-486-4663
Practice Address - Fax:218-486-5327
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN706611183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician