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Individual

REBECCA ROSE SHEEHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
6 WELLNESS WAY STE 101, LATHAM, NY 12110-2156
(518) 782-7733
(518) 782-0800
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RTNPP37259
RI
363LP0200X
Pediatric Nurse Practitioner
Primary
381906
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03017347
NY
Enumeration date
05/01/2006
Last updated
02/12/2024
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