Healthcare Provider Details

I. General information

NPI: 1790089555
Provider Name (Legal Business Name): SHERIDAN HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2011
Last Update Date: 01/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4107B S. FEDERAL BLVD.
ENGLEWOOD CO
80110-4316
US

IV. Provider business mailing address

4107B S. FEDERAL BLVD.
ENGLEWOOD CO
80110-4316
US

V. Phone/Fax

Practice location:
  • Phone: 303-781-1636
  • Fax: 303-783-9978
Mailing address:
  • Phone: 303-781-1636
  • Fax: 303-783-9978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERICA SCHWARTZ
Title or Position: PROJECT DIRECTOR
Credential: DNP, MSN, CNM
Phone: 303-724-1563