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Individual

MARY SHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R031280
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5871218
AETNA
ME
01
MN5123
HARVARD PILGRIM
ME
01
R031280
TRICARE
ME
Enumeration date
04/13/2006
Last updated
07/13/2026
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