Individual
MRS. KAREN ANN SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
716 STANWOOD ST, PHILADELPHIA, PHILADELPHIA, PA 19111-2311
(215) 776-1808
Mailing address
716 STANWOOD ST, PHILADELPHIA, PHILADELPHIA, PA 19111-2311
(215) 776-1808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015154
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR15403300
NEW JERSEY CONSUMER AFFAIRS
NJ
01
—
AG0415071
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
01
—
RN608005
COMMONWEALTH OF PENNSYLVANIA, STATE BOARD OF NURSING
PA
01
—
SP015154
COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF STATE, CERTIFIED NURSE PRACTITIONER
PA
Enumeration date
10/08/2015
Last updated
10/08/2015
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