Provider Demographics
NPI:1033256276
Name:SHEEHY, KATHY ANN (APRN, PCNS)
Entity Type:Individual
Prefix:MS
First Name:KATHY ANN
Middle Name:
Last Name:SHEEHY
Suffix:
Gender:F
Credentials:APRN, PCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MICHIGAN AVENUE NW
Mailing Address - Street 2:WEST 1, ROOM 100
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-476-5620
Mailing Address - Fax:202-476-4922
Practice Address - Street 1:111 MICHIGAN AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2978
Practice Address - Country:US
Practice Address - Phone:202-884-3061
Practice Address - Fax:202-884-4156
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN44779163WG0100X, 163WP0000X, 163WP0200X
VA0015000804163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management
No163WG0100XNursing Service ProvidersRegistered NurseGastroenterology
No163WP0200XNursing Service ProvidersRegistered NursePediatrics