MARY SHERIDAN NNP
NPI 1790741775
Nurse Practitioner - Neonatal in Charleston, WV
Active since April 26, 2006
830 PENNSYLVANIA AVE, SUITE 406, CHARLESTON, WV 25302(304) 388-2238(304) 388-2618 Get Directions Write a Review
About Mary Sheridan Nnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY SHERIDAN NNP (NPI 1790741775) is an individual neonatal provider in Charleston, West Virginia, licensed in West Virginia (43685) and active in the NPI registry since April 2006.
NPPES Registry Identity
NPI1790741775
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMARY SHERIDANCredential: NNP
Location Address830 PENNSYLVANIA AVE, SUITE 406Charleston, WV 25302-3302
Mailing Address105 Deming DrCharleston, WV 25314-1013 · (304) 388-2238 · Fax (304) 388-2618
Phone(304) 388-2238
Fax(304) 388-2618
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 29, 2008
✔ NPI 1790741775 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in WV · 43685
830 PENNSYLVANIA AVE, Charleston, WV 25302
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Obstetrics & Gynecology (Gynecology)
830 PENNSYLVANIA AVE, STE 110
CHARLESTON, WV 25302
CHARLESTON, WV 25302
Pediatrics (Pediatric Hematology-Oncology)
830 PENNSYLVANIA AVE, SUITE 104
CHARLESTON, WV 25302
CHARLESTON, WV 25302
Pediatrics (Neonatal-Perinatal Medicine)
830 PENNSYLVANIA AVE, SUITE 406
CHARLESTON, WV 25302
CHARLESTON, WV 25302
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790741775, enumerated as an "individual" on April 26, 2006.
The provider is located at 830 PENNSYLVANIA AVE SUITE 406 CHARLESTON, WV 25302 and the phone number is (304) 388-2238.
Nurse Practitioner with taxonomy code 363LN0000X and a focus in Neonatal.
