Provider Demographics
NPI:1093029035
Name:SHEA, CINDY STUART (ANP-BC)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:STUART
Last Name:SHEA
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:STUART
Other - Last Name:SHEA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:SHANDS AT UNIVERSITY OF FLORIDA
Mailing Address - Street 2:1600 SW ARCHER RD
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0223
Mailing Address - Country:US
Mailing Address - Phone:352-265-8940
Mailing Address - Fax:352-265-8970
Practice Address - Street 1:SHANDS AT UNIVERSITY OF FLORIDA
Practice Address - Street 2:1600 SW ARCHER RD
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0223
Practice Address - Country:US
Practice Address - Phone:352-265-8940
Practice Address - Fax:352-265-8970
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1435752363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDP421ZMedicare PIN