Individual
CASEY J SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
400 MATTHEW ST STE 303, MARIETTA, OH 45750-1656
(740) 373-7828
(740) 373-5898
Mailing address
113 E 6TH ST, WILLIAMSTOWN, WV 26187-1601
(304) 481-1375
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024391
OH
363LF0000X
Family Nurse Practitioner
APRN78641-NP-C
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0336236
—
OH
Enumeration date
06/13/2018
Last updated
08/18/2020
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