Individual
COLLEEN SHEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3401 CENTRE LAKE DR STE 512, ONTARIO, CA 91761-1201
(909) 566-0445
Mailing address
391 N SAN JACINTO ST, HEMET, CA 92543-3118
(951) 929-6003
(951) 929-1984
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95000583
CA
363LA2200X
Adult Health Nurse Practitioner
F305624
NY
Other
Enumeration date
05/08/2011
Last updated
10/24/2019
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