Individual
ELIZABETH SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1900 W AIRLINE HWY, LA PLACE, LA 70068-3338
(985) 652-7000
(985) 652-5161
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010242
NY
363A00000X
Physician Assistant
Primary
311852
LA
363AM0700X
Medical Physician Assistant
PA 9103416
FL
Other
Enumeration date
01/24/2007
Last updated
04/23/2019
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