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Individual

KATHERINE SHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
520 11TH ST NW, CEDAR RAPIDS, IA 52405-3811
(319) 398-3562
(319) 398-3501
Mailing address
520 11TH ST NW, CEDAR RAPIDS, IA 52405-3811
(319) 398-3562
(319) 398-3501

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G158374
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063586071
IA
Enumeration date
04/29/2020
Last updated
08/10/2022
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