Individual provider · Type 1 NPI

Tara Shea

Family Nurse Practitioner · Canton, MI

NPI number 1457439481 Active

Practice location

2050 N Haggerty Rd, Suite 100
Canton, MI 48187-3795

Call (734) 981-7086 Map

Fax (734) 981-5094

Mailing address

2050 N Haggerty Rd Ste 260
Canton, MI 48187-3796

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	4704201117 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1457439481

Tara Shea's National Provider Identifier is 1457439481, issued on Nov 1, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canton, MI. The record was last updated on Dec 23, 2019.