Shea, Mary

Shea, Mary is an individual health care provider with primary practice located at 86 Davis St , Bangor ME 04401-6410. 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, Mary can be contacted via phone (207) 992-2205.

Contact Information

Primary practice address
86 Davis St Bangor ME 04401-6410
Phone: (207) 992-2205
Fax: (207) 992-2207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R031280 Maine

Profile Details

NPI number 1780648246
LBN Legal business name Shea, Mary
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1780648246 NPPES
Maine Other 5871218 AETNA
Maine Other R031280 AETNA
Maine Other MN5123 AETNA

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