Individual
MS. MELINDA S O SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1510 E RUSHOLME STREET, DAVENPORT, IA 52803
(563) 359-6633
(563) 344-1371
Mailing address
1510 E RUSHOLME STREET, DAVENPORT, IA 52803
(563) 359-6633
(563) 344-1371
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F091357
IA
363LW0102X
Women's Health Nurse Practitioner
F091357
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421487
—
IA
Enumeration date
08/22/2006
Last updated
04/24/2008
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