Individual provider · Type 1 NPI
Bridget Shea-Gander
Pediatric Nurse Practitioner · South Deerfield, MA
NPI number
1295285278
Active
Practice location
29 Elm St
South Deerfield, MA 01373-1005
Mailing address
19 River Rd S
Putney, VT 05346-8517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | CNP-03085 (NM) |
| Pediatric Nurse Practitioner | 363LP0200X | 101.0134628 (VT) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2372845 (MA) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1295285278
Bridget Shea-Gander's National Provider Identifier is 1295285278, issued on Oct 13, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in South Deerfield, MA. The record was last updated on Mar 15, 2023.