Provider Demographics
NPI:1851774814
Name:SHEEHAN, ELENI POLOPOLUS (ARNP)
Entity type:Individual
Prefix:
First Name:ELENI
Middle Name:POLOPOLUS
Last Name:SHEEHAN
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:68 HARRISON AVE #605
Mailing Address - Street 2:PMB 62564
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-0226
Mailing Address - Country:US
Mailing Address - Phone:888-404-4813
Mailing Address - Fax:888-675-4061
Practice Address - Street 1:68 HARRISON AVE #605
Practice Address - Street 2:PMB 62564
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-0226
Practice Address - Country:US
Practice Address - Phone:888-404-4813
Practice Address - Fax:888-675-4061
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT229797363LF0000X
MO2024029961363LF0000X
IAA180900363LF0000X
VT101.0137273363LF0000X
AL3-001863363LF0000X
AZ315402363LF0000X
KY4036009363LF0000X
NH113354-23363LF0000X
NM80355363LF0000X
OHAPRN.CNP.0038061363LF0000X
MS906824363LF0000X
MECNP241422363LF0000X
DELG0012881363LF0000X
LA237297363LF0000X
FL9355989363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015392100Medicaid
FL015392100Medicaid