Individual
MR. SEAN TANSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9113283
FL
363AM0700X
Medical Physician Assistant
Primary
0110007589
VA
363AM0700X
Medical Physician Assistant
PA202814
OR
Other
Enumeration date
04/20/2019
Last updated
07/15/2024
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