O'Shea, Renee L

O'Shea, Renee L is an sole proprietor health care provider with primary practice located at 4747 Arapahoe Ave , Boulder CO 80303-1133. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. O'Shea, Renee L can be contacted via phone (303) 415-7610.

Contact Information

Primary practice address
4747 Arapahoe Ave Boulder CO 80303-1133
Phone: (303) 415-7610
Fax: (303) 415-7618
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN.0162540 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN.0005171-NP Colorado

Profile Details

NPI number 1578619854
LBN Legal business name O'Shea, Renee L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Nov 9th, 2017 - about 8 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 1578619854 NPPES
Colorado MEDICAID 27123537

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