Tara A Shealy in San Diego - Psychiatric/mental Health, Child & Adolescent
Tara A Shealy - NPI 1649309105
Tara A Shealy is a Psychiatric/mental Health, Child & Adolescent in San Diego, California. Tara A Shealy practices all healthcare services and medical treatments related to Psychiatric/mental Health, Child & Adolescent. The NPI Number for Tara A Shealy is 1649309105. The last update date is 2007-07-08.
Tara A Shealy's current location address is 11272 Corte Playa Madera, San Diego, California. You can contact this provider via phone number 8582924600. The mailing address for Tara A Shealy is 11272 Corte Playa Madera, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara A Shealy |
|---|---|
| Address | 11272 Corte Playa Madera, San Diego, California |
| Phone Number | 8582924600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1649309105 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11272 Corte Playa Madera |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921244137 |
| Phone Number | 8582924600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Child & Adolescent |
|---|---|
| Taxonomy | 163Wp0807X |
| Licence No | 392596 |
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Definition: A psychiatric nurse who cares for infants, children and adolescents. |
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What is the unique 10-digit identification code issued to Tara A Shealy by the Centers for Medicare & Medicaid Services?
The Tara A Shealy has been assigned the NPI (National Provider Identifier) 1649309105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Tara A Shealy located?
The Tara A Shealy is located at 11272 Corte Playa Madera, San Diego, CA 921244137.
What is Tara A Shealy's area of expertise and its corresponding taxonomy classification?
The Tara A Shealy's field of specialization is Psychiatric/mental Health, Child & Adolescent, and it falls under the taxonomy code 163Wp0807X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649309105 to Tara A Shealy?
The Centers for Medicare & Medicaid Services originally issued the 1649309105 to Tara A Shealy on 2007-03-02.
When was the information regarding Tara A Shealy most recently updated?
The details pertaining to the Tara A Shealy, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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