MEDICARE: BRIDGET SHEA-GANDER

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	363LP0200X	Pediatric Nurse Practitioner	CNP-03085	NM
2	363LP0200X	Pediatric Nurse Practitioner	101.0134628	VT
3	363LP0200X	Pediatric Nurse Practitioner	RN2372845	MA

General Provider Information

NPI Number	:	1295285278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET SHEA-GANDER

Provider Business Mailing Address
First Line	:	19 RIVER RD S
Second Line	:
City	:	PUTNEY
State	:	VT
Zip	:	05346-8517
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 ELM ST
Second Line	:
City	:	SOUTH DEERFIELD
State	:	MA
Zip	:	01373-1005
Country	:	US
Telephone Number	:	413-665-9111
Fax Number	:

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

Provider Enumeration Date	:	10/13/2016
Last Update Date	:	03/15/2023

Similar Medicare Providers

1598753600 — JENNIFER LYNN SCHOTT M.D.
Practice Location Address:

29 ELM ST
SOUTH DEERFIELD, MA
01373-1005

Practice Phone: 413-665-9111
Practice Fax: 413-665-9211

1043377609 — DR. SEAN JAMES DACUS D.O.
Practice Location Address:

29 ELM ST
SOUTH DEERFIELD, MA
01373-1005

Practice Phone: 413-665-6760
Practice Fax: 413-665-2101

1841201084 — WALGREEN CO
Practice Location Address:

1005 S FEDERAL HWY
DEERFIELD BEACH, FL
33441-7032

Practice Phone: 954-725-1601
Practice Fax:

1407138217 — MRS. RIYA THOMAS RPH
Practice Location Address:

1005 S FEDERAL HWY
DEERFIELD BEACH, FL
33441-7032

Practice Phone: 954-725-1601
Practice Fax: 954-725-4519

1083999049 — MR. THOMAS ERIC PALUCIS
Practice Location Address:

1005 S FEDERAL HWY
DEERFIELD BEACH, FL
33441-7032

Practice Phone: 954-725-1601
Practice Fax: 954-725-4519

1134405756 — DR. DAVE THOMAS PHARM.D
Practice Location Address:

1005 S FEDERAL HWY
DEERFIELD BEACH, FL
33441-7032

Practice Phone: 954-725-1601
Practice Fax:

Directions to “ BRIDGET SHEA-GANDER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.