Mary Shea in Hermon - Family

Mary Shea - NPI 1780648246

Mary Shea is a Family in Hermon, Maine. Mary Shea practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Shea is 1780648246. The last update date is 2007-07-08.

Mary Shea's current location address is 1795 Hammond St, Hermon, Maine. You can contact this provider via phone number 2079922205. The mailing address for Mary Shea is 1795 Hammond St, Hermon, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Shea
Address 1795 Hammond St, Hermon, Maine
Phone Number 2079922205
Fax Number
Sole Proprietor X
Credentials FNP

NPI Number Detail

NPI Number 1780648246
Provider Enumeration Date 2006-04-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1795 Hammond St
City Hermon
State Maine (ME)
Post Code 44011135
Phone Number 2079922205
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R031280
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
5871218 ME AETNA
R031280 ME TRICARE
MN5123 ME HARVARD PILGRIM

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FAQs about Mary Shea

What is the unique 10-digit identifier code assigned to Mary Shea by the Centers for Medicare & Medicaid Services?

The Mary Shea has been issued the NPI (National Provider Identifier) 1780648246 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Mary Shea is geographically located?

The Mary Shea is physically situated at the following location: 1795 Hammond St, Hermon, ME, 44011135.

What is Mary Shea's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mary Shea is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

When did the Mary Shea receive its 1780648246?

The Mary Shea was issued its 1780648246 on 2006-04-13, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Mary Shea most recently updated or revised?

The details related to Mary Shea, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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