Individual
MARY SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
830 PENNSYLVANIA AVE, SUITE 406, CHARLESTON, WV 25302-3302
(304) 388-2238
(304) 388-2618
Mailing address
105 DEMING DR, CHARLESTON, WV 25314-1013
(304) 388-2238
(304) 388-2618
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
43685
WV
Other
Enumeration date
04/26/2006
Last updated
07/29/2008
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