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Individual

SHARON L. SHEEHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
290 N WAYTE LN # 1200, FRESNO, CA 93701-2124
(866) 342-6012
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
195098
CA
363L00000X
Nurse Practitioner
2196
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
2196
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN195098
CA
Enumeration date
11/11/2006
Last updated
10/09/2020
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