Individual provider · Type 1 NPI

Tara A. Shealy, RN

Child & Adolescent Psychiatric/Mental Health Registered Nurse · San Diego, CA

NPI number 1649309105 Active

Practice location

446 Alta Rd, Suite 6100
San Diego, CA 92158-0001

Mailing address

11272 Corte Playa Madera
San Diego, CA 92124-4137

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X392596 (CA)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1649309105

Tara A. Shealy, RN's National Provider Identifier is 1649309105, issued on Mar 2, 2007. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.