Individual
MS. PATRICIA LYNN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
720 HOPMEADOW ST, SIMSBURY, CT 06070-2224
(860) 651-3519
(860) 651-4133
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001684
CT
Other
Enumeration date
08/27/2008
Last updated
11/08/2013
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