Individual
KELLY ANNE SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1535 RICHMOND AVE, STATEN ISLAND, NY 10314-1520
(929) 482-4300
Mailing address
347 SHARON AVE, STATEN ISLAND, NY 10301-3418
(646) 331-4486
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
788521-01
NY
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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