Individual provider · Type 1 NPI

Tinamarie Shea

Student in an Organized Health Care Education/Training Program · Pompton Lakes, NJ

NPI number 1114453065 Active

Practice location

16 Pompton Ave
Pompton Lakes, NJ 07442-1895

Mailing address

PO Box 326
Franklin Lakes, NJ 07417-0326

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114453065

Tinamarie Shea's National Provider Identifier is 1114453065, issued on May 11, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pompton Lakes, NJ. The record was last updated on May 11, 2017.