Individual
EMILY ALYCE SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3030
Mailing address
12 BORDER ST, QUINCY, MA 02171-1013
(603) 494-1009
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2281304
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2281304
MA
Other
Enumeration date
07/30/2018
Last updated
09/13/2020
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