Provider Demographics
NPI:1588793061
Name:SHEEHAN, CAROLINE S (CPNP)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:S
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9701 LANDMARK PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1665
Mailing Address - Country:US
Mailing Address - Phone:314-849-3885
Mailing Address - Fax:314-842-3984
Practice Address - Street 1:9701 LANDMARK PARKWAY DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1665
Practice Address - Country:US
Practice Address - Phone:314-849-3885
Practice Address - Fax:314-842-3984
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO95341363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics