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NPI Code Detail

MEDICARE: CATHERINE SHEAHAN PMHNP-BC, FNP-BC

MEDICARE: CATHERINE SHEAHAN PMHNP-BC, FNP-BC
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 PractitionerAC006657MD
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAC006663MD
3363LP0808XPsychiatric/Mental Health Nurse Practitioner004546CT
4363LP0808XPsychiatric/Mental Health Nurse Practitioner61432491WA
5363LP0808XPsychiatric/Mental Health Nurse Practitioner95364104CA
6363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2390092MA
7363LP0808XPsychiatric/Mental Health Nurse Practitioner101.0136756VT
8363LP0808XPsychiatric/Mental Health Nurse Practitioner95031409CA
9363LP0808XPsychiatric/Mental Health Nurse Practitioner0024190938VA
10363LP0808XPsychiatric/Mental Health Nurse Practitioner289451AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528360526
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE SHEAHAN PMHNP-BC, FNP-BC
Provider Business Mailing Address
First Line : 109 W 27TH ST RM 5S
Second Line :
City : NEW YORK
State : NY
Zip : 10001-6208
Country : US
Telephone Number : 833-351-8255
Fax Number : 888-815-3583
Provider Business Practice Location Address
First Line : 4435 E CHANDLER BLVD STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-7651
Country : US
Telephone Number : 833-815-8255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2010
Last Update Date : 05/06/2025

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