MEDICARE: MICHELLE SHEEHAN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN120309	AZ
2	364SF0001X	Family Health Clinical Nurse Specialist	AP9764	AZ
3	363LF0000X	Family Nurse Practitioner	AP9764	AZ

General Provider Information

NPI Number	:	1144755935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE SHEEHAN NP

Provider Business Mailing Address
First Line	:	262 E CALLE ZAFIRO
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85704-6630
Country	:	US
Telephone Number	:	520-955-4391
Fax Number	:

Provider Business Practice Location Address
First Line	:	698 E WETMORE RD STE 120
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1752
Country	:	US
Telephone Number	:	520-955-1000
Fax Number	:	602-508-4830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2017
Last Update Date	:	07/21/2022

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Directions to “ MICHELLE SHEEHAN NP” Practice Location

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