Provider Demographics
NPI:1598082638
Name:O'SHEA, ELEANORE KATHLEEN (APRN)
Entity Type:Individual
Prefix:
First Name:ELEANORE
Middle Name:KATHLEEN
Last Name:O'SHEA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HOSPITAL CENTER CMNS STE 100
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2842
Mailing Address - Country:US
Mailing Address - Phone:843-681-5062
Mailing Address - Fax:843-681-5063
Practice Address - Street 1:11 HOSPITAL CENTER CMNS STE 100
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-2842
Practice Address - Country:US
Practice Address - Phone:843-681-5062
Practice Address - Fax:843-681-5063
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC54-02723363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner