KELLY DIANE SHEEHAN NPI 1528534005

NPI Information

NPI: 1528534005
Provider Name: KELLY DIANE SHEEHAN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1100 W TOWN AND COUNTRY RD STE 1600
ORANGE, CA
ZIP 92868
Phone: (844) 310-2247
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Kelly Diane Sheehan is a family nurse practitioner in Orange, CA. Kelly Diane Sheehan NPI is 1528534005. 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:

1100 W TOWN AND COUNTRY RD STE 1600
ORANGE, CA
ZIP 92868
Phone: (844) 310-2247

The enumeration date for this NPI number is 10/22/2018 and was last updated on 7/12/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		RN2283832	MASSACHUSETTS	No
2	363LF0000X	Nurse Practitioner	Family	RN2283832	MASSACHUSETTS	No
3	363LF0000X	Nurse Practitioner	Family	NP95010297	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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