Individual
LAURA SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-MSN
Contact information
Practice address
511 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2506
(413) 733-3488
Mailing address
511 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2506
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
101042
CT
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN2274789
MA
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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