Individual provider · Type 1 NPI
Mary Sheridan, NNP
Neonatal Nurse Practitioner · Charleston, WV
NPI number
1790741775
Active
Practice location
830 Pennsylvania Ave, Suite 406
Charleston, WV 25302-3302
Fax (304) 388-2618
Mailing address
105 Deming Dr
Charleston, WV 25314-1013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | 43685 (WV) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1790741775
Mary Sheridan, NNP's National Provider Identifier is 1790741775, issued on Apr 26, 2006. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Charleston, WV. The record was last updated on Jul 29, 2008.