Mary Sheridan, nnp
Nurse Practitioner, Neonatal in Charleston, WV. Individual provider (NPI-1).
NPI number1790741775
StatusActive
Last updated in NPPESJul 29, 2008
Details
- NPI
- 1790741775
- Entity type
- Individual (NPI-1)
- Name
- Mary Sheridan
- Credential
- nnp
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2006
- Last updated
- Jul 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0000X | Nurse Practitioner, Neonatal | 43685 | WV | Yes |
Practice location
830 Pennsylvania AveSuite 406
Charleston, WV 25302-3302
Phone 304-388-2238 · Fax 304-388-2618
Mailing address
105 Deming DrCharleston, WV 25314-1013
Phone 304-388-2238 · Fax 304-388-2618
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