Individual
AMBER RENAE SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
5805 E COLUMBUS WAY, WASILLA, AK 99654-7831
(907) 376-7300
(888) 977-2041
Mailing address
5805 E COLUMBUS WAY, WASILLA, AK 99654-7831
(907) 376-7300
(888) 977-2041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
25078
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1313
AK
Other
Enumeration date
02/06/2013
Last updated
02/08/2017
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