Shea, Carissa
Shea, Carissa is an individual health care provider with primary practice located at 2222 N Nevada Ave , Colorado Springs CO 80907-6819. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Shea, Carissa can be contacted via phone (719) 776-5000.Contact Information
Primary practice address
2222 N Nevada Ave
Colorado Springs CO 80907-6819
Phone: (719) 776-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | RXN.0104425-NP | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RXN.0104425-NP | Colorado |
Profile Details
NPI number | 1356980304 |
---|---|
LBN Legal business name | Shea, Carissa |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 21st, 2019 |
Last updated | Dec 21st, 2019 - about 5 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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