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Individual
MELINDA GOODWIN SHEEHAN
Active
Individual
MELINDA GOODWIN SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7068
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629182621
—
CA
01
—
406306
REGISTERED NURSE LICENSE
CA
01
—
NP0070680
BLUE SHIELD OF CALIFORNIA
CA
01
—
NPF 7068
NURSE PRACTIONER NUMBER
CA
01
—
P00653931
RAILROAD MEDICARE
CA
Enumeration date
08/18/2006
Last updated
12/19/2012
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