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NPI Code Detail

MEDICARE: ANN PATRICE SHEEHAN DNP, CPNP

MEDICARE: ANN PATRICE SHEEHAN DNP, CPNP
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
1363LP0200XPediatric Nurse Practitioner4704160324MI

General Provider Information

NPI Number : 1639177983
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN PATRICE SHEEHAN DNP, CPNP
Provider Business Mailing Address
First Line : 1000 OAKLAND DR
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-1282
Country : US
Telephone Number : 269-327-5700
Fax Number : 269-327-1564
Provider Business Practice Location Address
First Line : 670 MALL DR
Second Line :
City : PORTAGE
State : MI
Zip : 49024-2878
Country : US
Telephone Number : 269-327-1900
Fax Number : 269-327-1564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 10/09/2018

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Directions to “ ANN PATRICE SHEEHAN DNP, CPNP” Practice Location

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