Individual provider · Type 1 NPI

Kelly Diane Sheehan

Family Nurse Practitioner · Orange, CA

NPI number 1528534005 Active

Practice location

1100 W Town And Country Rd Ste 1600
Orange, CA 92868

Mailing address

3343 4th Ave Apt 104
San Diego, CA 92103-5703

Other practice locations

  • 155 Harvard Ln, Wrentham, MA 02093-1006 · (508) 237-3808

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP95010297 (CA)
Nurse Practitioner 363L00000XRN2283832 (MA)
Family Nurse Practitioner 363LF0000XRN2283832 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1528534005

Kelly Diane Sheehan's National Provider Identifier is 1528534005, issued on Oct 22, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orange, CA. The record was last updated on Jul 12, 2019.