Individual provider · Type 1 NPI

Marisa Arline Shea, MD

Student in an Organized Health Care Education/Training Program · Revere, MA

NPI number 1912825217 Active

Practice location

12 Dolphin Ave
Revere, MA 02151-4137

Call (978) 496-4076 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912825217

Marisa Arline Shea, MD's National Provider Identifier is 1912825217, issued on Jul 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Revere, MA. The record was last updated on Jul 6, 2026.