Individual
MRS. KATHERINE DENISE SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
397 SPRUCE GLEN RD, LEXINGTON, SC 29072-8897
(803) 996-5723
Mailing address
300 E MCBEE AVE, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R75428
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
3225
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1625
—
SC
Enumeration date
01/20/2007
Last updated
08/26/2022
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