Individual provider · Type 1 NPI
Shawn Theberge, APRN, FNP-C, NR-P
Family Nurse Practitioner · Wales, WI
NPI number
1205447455
Active
Practice location
200 W Summit Ave
Wales, WI 53183-9427
Mailing address
11 Canyon Way
Windham, ME 04062-4895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Paramedic | 146L00000X | P8036707 (ME) |
| Registered Nurse | 163W00000X | RN72498 (ME) |
| Family Nurse Practitioner Primary | 363LF0000X | CNP201467 (ME) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Wales
About NPI 1205447455
Shawn Theberge, APRN, FNP-C, NR-P's National Provider Identifier is 1205447455, issued on Aug 12, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wales, WI. The record was last updated on Aug 3, 2021.