Sheridan, Charlene A

Sheridan, Charlene A is an individual health care provider with primary practice located at 1551 Bishop St Ste 310 , San Luis Obispo CA 93401-4637. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sheridan, Charlene A can be contacted via phone (805) 242-4455.

Contact Information

Primary practice address
1551 Bishop St Ste 310 San Luis Obispo CA 93401-4637
Phone: (805) 242-4455
Fax: (805) 542-9589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13198 California

Profile Details

NPI number 1245214469
LBN Legal business name Sheridan, Charlene A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Feb 27th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245214469 NPPES
California Other 13198 RN LICENSE #

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