MEDICARE: SHERIDAN HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LP0200X	Pediatric Nurse Practitioner
2	363LX0001X	Obstetrics & Gynecology Nurse Practitioner
3	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1790089555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHERIDAN HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	4107B S. FEDERAL BLVD.
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-4316
Country	:	US
Telephone Number	:	303-781-1636
Fax Number	:	303-783-9978

Provider Business Practice Location Address
First Line	:	4107B S. FEDERAL BLVD.
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-4316
Country	:	US
Telephone Number	:	303-781-1636
Fax Number	:	303-783-9978

Authorized Official
Title or Position	:	PROJECT DIRECTOR
Name	:	ERICA SCHWARTZ
Credential	:	DNP, MSN, CNM
Telephone Number	:	303-724-1563

Provider Enumeration Date	:	01/07/2011
Last Update Date	:	01/07/2011

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