Most Relevant Information
Provider Data
| NPI Number: | 1003539156 |
| Provider Name: | SAMANTHA SHEA FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN2280679 |
Most Important Dates
| Enumeration Date: | 09/23/2022 |
| Last Updated: | 09/23/2022 |
Provider Practice Location
401 N BEDFORD ST
EAST BRIDGEWATER
MA
023331147
Practice Location Phone/Fax
| Phone: | 6179806968 |
| Fax: |
Provider Mailing Location
21 GLEN LN
RANDOLPH
MA
023681822
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |