Individual provider · Type 1 NPI
Mark Shea
Driver · Prior Lake, MN
NPI number
1932665403
Active
Practice location
17242 Horizon Trl SE
Prior Lake, MN 55372-3939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | T010234994001 (MN) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
Other driver providers in Prior Lake
About NPI 1932665403
Mark Shea's National Provider Identifier is 1932665403, issued on Feb 20, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Prior Lake, MN. The record was last updated on Feb 20, 2019.