Individual
KRISTA SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 BUTTERFLY GARDENS DR, COLUMBUS, OH 43215-7508
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
073306-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361794
—
OH
Enumeration date
06/03/2019
Last updated
03/06/2020
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