| NPI | 1598062689 |
|---|---|
| Former Name | STEPHANIE C SHERIDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209004768) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-004768) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2025-05-14 |