Individual
CAROLINE SHEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC, MSN, RN
Contact information
Practice address
601 CHILDRENS LN FL 4, NORFOLK, VA 23507-1971
(757) 668-7452
Mailing address
601 CHILDRENS LN FL 4, NORFOLK, VA 23507-1971
(757) 668-7452
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
24176110
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104417186
NEONATAL NURSE PRACTITIONER BOARD CERTIFICATION - NATIONAL CERTIFICATION CORP.
—
01
—
1245220
REGISTERED NURSE LICENSE
VA
01
—
17144887
AUTHORIZATION TO PRESCRIBE LICENSE
VA
01
—
24176110
VIRGINIA NURSE PRACTITIONER LICENSE
VA
Enumeration date
06/05/2018
Last updated
06/05/2018
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