Susan B. Shea in Rohnert Park - Family

Susan B. Shea - NPI 1881708881

Susan B. Shea is a Family in Rohnert Park, California. Susan B. Shea practices all healthcare services and medical treatments related to Family. The NPI Number for Susan B. Shea is 1881708881. The last update date is 2007-07-08.

Susan B. Shea's current location address is 1450 Medical Center Dr, Rohnert Park, California. You can contact this provider via phone number 7075848588 and fax number 7075842869. The mailing address for Susan B. Shea is 1450 Medical Center Dr, Rohnert Park, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan B. Shea
Address 1450 Medical Center Dr, Rohnert Park, California
Phone Number 7075848588
Fax Number 7075842869
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1881708881
Provider Enumeration Date 2006-08-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1450 Medical Center Dr
City Rohnert Park
State California (CA)
Post Code 949282924
Phone Number 7075848588
Fax Number 7075842869

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 9255
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
302381 CA REGISTERED NURSE LICENSE

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FAQs about Susan B. Shea

What is the unique identifier code issued to Susan B. Shea by the Centers for Medicare & Medicaid Services?

The Susan B. Shea has been assigned the NPI (National Provider Identifier) 1881708881. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Susan B. Shea is physically located?

The Susan B. Shea is situated at the following address: 1450 Medical Center Dr, Rohnert Park, CA 949282924.

What is Susan B. Shea's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Susan B. Shea is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.

On what date did the Susan B. Shea receive the assignment of its 1881708881 from the Centers for Medicare & Medicaid Services?

The Susan B. Shea was issued its 1881708881 by the Centers for Medicare & Medicaid Services on 2006-08-18.

When was the information related to Susan B. Shea most recently updated or refreshed?

The details pertaining to the Susan B. Shea, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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