MEDICARE: DR. MAUREEN LEE SHEEHAN M.D.

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	207R00000X	Internal Medicine Physician	G80643	CA
2	207R00000X	Internal Medicine Physician	15490	NV
3	207R00000X	Internal Medicine Physician	71635	MT
4	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	15490	NV
5	207R00000X	Internal Medicine Physician	25050	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11553933	OTHER		CAQH

General Provider Information

NPI Number	:	1215083845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAUREEN LEE SHEEHAN M.D.

Provider Business Mailing Address
First Line	:	1455 MERIDIAN RANCH DR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-3858
Country	:	US
Telephone Number	:	530-562-7354
Fax Number	:	775-300-7596

Provider Business Practice Location Address
First Line	:	3101 PLUMAS ST
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-4515
Country	:	US
Telephone Number	:	530-562-7354
Fax Number	:	775-300-7596

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	08/09/2025

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