Individual
CASSIE SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 S BLOUNT ST, APT 403, RALEIGH, NC 27601-3102
(413) 446-5173
Mailing address
308 S BLOUNT ST, APT 403, RALEIGH, NC 27601-3102
(413) 446-5173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05823
NC
363A00000X
Physician Assistant
25MP00634200
NJ
363A00000X
Physician Assistant
66336
CA
363A00000X
Physician Assistant
PA100661
MA
Other
Enumeration date
11/22/2015
Last updated
05/05/2026
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