Individual
KATHERINE SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
Mailing address
4 GARDEN CT APT 4A, BOSTON, MA 02113-2039
(617) 416-6377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2307395
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
2307395
MA
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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