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BRIDGET SHEA-GANDER NPI 1295285278


NPI Information

NPI: 1295285278
Provider Name: BRIDGET SHEA-GANDER
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
29 ELM ST
SOUTH DEERFIELD, MA
ZIP 01373
Phone: (413) 665-9111
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Bridget Shea-gander is a pediatrics nurse practitioner in South Deerfield, MA. Bridget Shea-gander NPI is 1295285278. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

29 ELM ST
SOUTH DEERFIELD, MA
ZIP 01373-005
Phone: (413) 665-9111

The NPI 1295285278 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2016 and was last updated on 3/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatricsCNP-03085NEW MEXICONo
2363LP0200XNurse PractitionerPediatrics101.0134628VERMONTNo
3363LP0200XNurse PractitionerPediatricsRN2372845MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.