Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | NPP37786 | RI |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN281512 | MA |
NPI | 1023431269 |
---|---|
Provider Name | Megan Sheehan |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2014 |
Last Update Date | 04/11/2015 |