Doctor Name: | MS. CATHERINE MAY SHEA |
NPI Number: | 1023366192 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | F401485-1 |
Business Practice Address: | 100 Washington St Elmira, NY - 149012849 |
Business Phone Number: | 6077374811 |
Business Fax Number: | |
Mailing Address: | 209 Benjamin Hill Rd, NEWFIELD |
State: | NY |
Postal Code: | 148679605 |
Phone Number: | 6073791861 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2012 |
NPI Last Update Date: | 08/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0810X |
License Number: | F401485-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Child & Family |
Taxonomy Definition: |