- Practice location
- 200 W Summit Ave, Wales, WI 53183-9427
- Phone
- 207-650-7540
- Fax
- —
- Last updated
- August 3, 2021
Shawn Theberge is a Nurse Practitioner, Family based in Wales, WI. Shawn Theberge practices in Wales, WI and has the professional credentials of APRN, FNP-C, NR-P. The NPI Number for Shawn Theberge is 1205447455 and holds a License No. P8036707 (ME). The current practice location address for Shawn Theberge is 200 W Summit Ave, Wales, WI 53183-9427 and can be reached out via phone at 207-650-7540.
Provider Profile Details
- NPI Number
- 1205447455
- Provider Name
- Shawn Theberge
- Credential
- APRN, FNP-C, NR-P
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 W Summit Ave, Wales, WI 53183-9427
- Phone Number
- 207-650-7540
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 12, 2020
- Last Update Date
- August 3, 2021
- Certification Date
- August 3, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 W Summit Ave
Wales, WI 53183-9427 - City
- Wales
- State
- Wisconsin
- Zip
- 53183-9427
- Phone Number
- 207-650-7540
Provider Business Mailing Address Details
- Address
- 11 Canyon Way
Windham, ME 04062-4895 - City
- Windham
- State
- ME
- Zip
- 04062-4895
- Phone Number
- 207-650-7540
License Information
- License Number (1)
- P8036707
- License State (1)
- ME
- Taxonomy (1)
- Emergency Medical Technician, Paramedic · 146L00000X
- License Number (2)
- RN72498
- License State (2)
- ME
- Taxonomy (2)
- Registered Nurse · 163W00000X
- License Number (3)
- CNP201467
- License State (3)
- ME
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Wales, WI
View all Nurse Practitioner, Family providers in Wales →Frequently Asked Questions
What is the NPI number of Mr. Shawn Theberge, APRN, FNP-C, NR-P?
The NPI number of Mr. Shawn Theberge, APRN, FNP-C, NR-P is 1205447455. It was assigned on August 12, 2020 and is currently active in the NPPES registry.
What is the specialty of Mr. Shawn Theberge, APRN, FNP-C, NR-P?
Mr. Shawn Theberge, APRN, FNP-C, NR-P is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number P8036707.
Where does Mr. Shawn Theberge, APRN, FNP-C, NR-P practice?
The practice location is 200 W Summit Ave, Wales, WI 53183-9427. The office can be reached at 207-650-7540 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205447455 directly on the NPPES registry website.