Doctor Name: | COLLEEN SHEEHAN |
NPI Number: | 1073805180 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F305624 |
Business Practice Address: | 391 N San Jacinto St Hemet, CA - 925433118 |
Business Phone Number: | 9519296003 |
Business Fax Number: | 9519291984 |
Mailing Address: | 391 N San Jacinto St, HEMET |
State: | CA |
Postal Code: | 925433118 |
Phone Number: | 9519296003 |
Fax Number: | 9519291984 |
NPI Enumeration Date: | 05/08/2011 |
NPI Last Update Date: | 11/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F305624 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |