O Shea, Melinda S

O Shea, Melinda S is an individual health care provider with primary practice located at 1510 E Rusholme Street , Davenport IA 52803. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. O Shea, Melinda S can be contacted via phone (563) 359-6633.

Contact Information

Primary practice address
1510 E Rusholme Street Davenport IA 52803
Phone: (563) 359-6633
Fax: (563) 344-1371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F091357 Iowa
Other Service Providers / Specialist 174400000X F091357 Iowa

Profile Details

NPI number 1831205640
LBN Legal business name O Shea, Melinda S
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Apr 24th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831205640 NPPES
Iowa MEDICAID 0421487

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