Provider Demographics
NPI:1578913745
Name:SHEA, MARGARET CATHERINE (NP-C)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:CATHERINE
Last Name:SHEA
Suffix:
Gender:F
Credentials:NP-C
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 980154
Mailing Address - Street 2:PLASTIC AND RECONSTRUCTIVE SURGERY
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0154
Mailing Address - Country:US
Mailing Address - Phone:804-828-3033
Mailing Address - Fax:804-828-0489
Practice Address - Street 1:1213 E CLAY ST
Practice Address - Street 2:EVANS-HAYNES BURN CENTER-CRITICAL CARE HOSPITAL, 8TH FL
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5071
Practice Address - Country:US
Practice Address - Phone:804-828-9240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173583363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily