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Individual

MS. KRISTEN SHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1263 MORELAND AVE SE, ATLANTA, GA 30316-3183
(470) 444-3137
(470) 202-3003
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730
(773) 866-8014

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R187273
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
RN281762
GA
363LG0600X
Gerontology Nurse Practitioner
R187273
MD

Other

Enumeration date
09/09/2015
Last updated
10/24/2024
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