Individual provider · Type 1 NPI

Kathryn Marie Sheridan

Student in an Organized Health Care Education/Training Program · Manahawkin, NJ

NPI number 1104377654 Active

Practice location

1361 Route 72 W
Manahawkin, NJ 08050-2417

Call (609) 978-0600 Map

Mailing address

1 Devon Ct
Spring Lake, NJ 07762-2292

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104377654

Kathryn Marie Sheridan's National Provider Identifier is 1104377654, issued on Oct 19, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manahawkin, NJ. The record was last updated on Oct 19, 2016.