Sheehan, Rebecca Rose

Sheehan, Rebecca Rose is an individual health care provider with primary practice located at 6 Wellness Way Ste 101 , Latham NY 12110-2156. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Sheehan, Rebecca Rose can be contacted via phone (518) 782-7733.

Contact Information

Primary practice address
6 Wellness Way Ste 101 Latham NY 12110-2156
Phone: (518) 782-7733
Fax: (518) 782-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RTNPP37259 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 381906 New York

Profile Details

NPI number 1649237736
LBN Legal business name Sheehan, Rebecca Rose
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Feb 12th, 2024 - about 2 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 1649237736 NPPES
New York MEDICAID 03017347

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