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Individual

CHARLENE A SHERIDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1551 BISHOP ST STE 310, SAN LUIS OBISPO, CA 93401-4637
(805) 242-4455
(805) 542-9589
Mailing address
1551 BISHOP ST STE 310, SAN LUIS OBISPO, CA 93401-4637
(805) 242-4455
(805) 542-9589

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13198
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13198
RN LICENSE #
CA
Enumeration date
12/01/2005
Last updated
02/27/2017
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