Provider Demographics
NPI:1326280546
Name:O'SHEA, MAUREEN JOANNE (NP)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:JOANNE
Last Name:O'SHEA
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 ASHMUN STREET,
Mailing Address - Street 2:CHIPPEWA COUNTY HEALTH DEPARTMENT STE 120
Mailing Address - City:SAULT SAINTE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783-1976
Mailing Address - Country:US
Mailing Address - Phone:906-635-1568
Mailing Address - Fax:906-253-1466
Practice Address - Street 1:508 ASHMUN STREET
Practice Address - Street 2:CHIPPEWA COUNTY HEALTH DEPARTMENT, STE 120
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-1976
Practice Address - Country:US
Practice Address - Phone:906-635-1568
Practice Address - Fax:906-253-1466
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704254861363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily