Individual
ANNE SHEAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(753) 596-0035
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-9076
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
209.015367
IL
286500000X
Military Hospital
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
209015367
IL
Other
Enumeration date
09/30/2013
Last updated
06/06/2025
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