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Individual
SAMANTHA SHEA
Active
Individual
SAMANTHA SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN2280679
MA
363LF0000X
Family Nurse Practitioner
RN2280679
MA
363LP2300X
Primary Care Nurse Practitioner
RN2280679
MA
Other
Enumeration date
09/23/2022
Last updated
07/13/2026
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