Individual
MS. CAROLINE V SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3138
(703) 433-9248
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(888) 280-9533
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168644
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396077780
—
VA
05
—
361702500
—
MD
Enumeration date
02/09/2010
Last updated
03/18/2014
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