Healthcare Provider Details

I. General information

NPI: 1487577052
Provider Name (Legal Business Name): SARAH SHEEHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MCCLENNAN BANKS DR
CHARLESTON SC
29401-1164
US

IV. Provider business mailing address

10 MCCLENNAN BANKS DR
CHARLESTON SC
29401-1164
US

V. Phone/Fax

Practice location:
  • Phone: 571-409-4492
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number271961
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: