Individual
AMY ELIZABETH SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
1471 ROBERT ST S, WEST SAINT PAUL, MN 55118-3141
(866) 389-2727
Mailing address
1241 OSAGE ST, SAINT PAUL, MN 55117-4029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 174445-9
MN
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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