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

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000X43685 (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.