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Individual

NICOLE SHEEHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1100 GOETHALS DR STE E, RICHLAND, WA 99352-3301
(509) 942-2037
(509) 942-3267
Mailing address
1100 GOETHALS DR FL 2, RICHLAND, WA 99352-3300
(509) 942-2037

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528327988
NPI
WA
05
1679766844
WA
Enumeration date
01/22/2019
Last updated
02/13/2020
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