Organization
COMMONVIEW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN SHEA FMHPNP-APRN-BC (APRN)
(774) 238-6043
Entity
Organization
Contact information
Practice address
22 STEEPLE STREET, SUITE 203, MASHPEE, MA 02649
(774) 238-6043
(508) 681-8573
Mailing address
22 STEEPLE STREET, SUITE 203, MASHPEE, MA 02649
(774) 238-6043
(508) 681-8573
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN229451
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972813343
TUFTS
MA
Enumeration date
03/30/2015
Last updated
07/16/2020
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