Provider Demographics
NPI:1851510259
Name:SHEA, LINDA HELEN (RN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:HELEN
Last Name:SHEA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1277 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-2039
Mailing Address - Country:US
Mailing Address - Phone:508-362-6390
Mailing Address - Fax:508-362-6390
Practice Address - Street 1:1277 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-2039
Practice Address - Country:US
Practice Address - Phone:508-280-6934
Practice Address - Fax:508-362-6390
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205814163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse