Individual
MS. KIRSTEN ERIKA SHEAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
KIRSTEN
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010
(202) 877-4848
(202) 877-2468
Mailing address
4300 UPLAND DR, ALEXANDRIA, VA 22310-1330
(703) 402-6581
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
250952
NY
207P00000X
Emergency Medicine Physician
MD042290
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355595YGA4
—
NY
Enumeration date
08/28/2006
Last updated
06/22/2018
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