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NPI Code Detail

MEDICARE: SHAWN SHEEHY VAN BUREN ARNP

MEDICARE: SHAWN SHEEHY VAN BUREN ARNP
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
1363LF0000XFamily Nurse Practitioner1813602FL
2363L00000XNurse PractitionerARNP 1813602FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ARNP 1813602OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1417176926
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN SHEEHY VAN BUREN ARNP
Provider Business Mailing Address
First Line : 737 CAPE CORAL PKWY E
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-8551
Country : US
Telephone Number : 305-799-5379
Fax Number :
Provider Business Practice Location Address
First Line : 737 CAPE CORAL PKWY E
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-8551
Country : US
Telephone Number : 239-542-0512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 04/01/2022

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