COLLEEN SHEEHAN NP NPI 1073805180

NPI Information

  • NPI: 1073805180
  • Provider Name: COLLEEN SHEEHAN, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3401 CENTRE LAKE DR STE 512
    ONTARIO, CA
    ZIP 91761
  • Phone: (909) 566-0445

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NPI Details

Colleen Sheehan, NP is an adult health nurse practitioner in Ontario, CA. Colleen Sheehan, NP NPI is 1073805180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3401 CENTRE LAKE DR STE 512
ONTARIO, CA
ZIP 91761-201
Phone: (909) 566-0445

The NPI 1073805180 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2011 and was last updated on 10/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthF305624NEW YORKNo
2363LA2200XNurse PractitionerAdult Health95000583CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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