Shea, Susan B.

Shea, Susan B. is an individual health care provider with primary practice located at 1450 Medical Center Dr Suite 3, Rohnert Park CA 94928-2924. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shea, Susan B. can be contacted via phone (707) 584-8588.

Contact Information

Primary practice address
1450 Medical Center Dr Suite 3 Rohnert Park CA 94928-2924
Phone: (707) 584-8588
Fax: (707) 584-2869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9255 California

Profile Details

NPI number 1881708881
LBN Legal business name Shea, Susan B.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 19 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 1881708881 NPPES
California Other 302381 REGISTERED NURSE LICENSE

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