Provider Demographics
NPI:1497116750
Name:SHEEHAN, WHITNEY E (CRNA)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:E
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:HEISCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2600 E B STREET RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62221-4205
Mailing Address - Country:US
Mailing Address - Phone:618-367-4280
Mailing Address - Fax:
Practice Address - Street 1:11133 DUNN RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-6163
Practice Address - Country:US
Practice Address - Phone:314-653-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-15
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209013845367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered