Active NPIIndividual provider

Mrs. Kathleen A O'Shea, APN

Nurse Practitioner, Gerontology in Blackwood, New Jersey

NPI Number1407397920
Practice location
400 E Church St, Blackwood, NJ 08012-3910
Fax
856-374-9495
Last updated
March 16, 2017

Kathleen Ann O'Shea is a Nurse Practitioner, Gerontology based in Blackwood, NJ. Kathleen Ann O'Shea practices in Blackwood, NJ and has the professional credentials of APN. The NPI Number for Kathleen Ann O'Shea is 1407397920 and holds a License No. 26nj00706400 (NJ). The current practice location address for Kathleen Ann O'Shea is 400 E Church St, Blackwood, NJ 08012-3910 and can be reached out via phone at 856-227-6575 and via fax at 856-374-9495.

Provider Profile Details

NPI Number
1407397920
Provider Name
Kathleen Ann O'Shea
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
400 E Church St, Blackwood, NJ 08012-3910
Phone Number
856-227-6575
Fax Number
856-374-9495
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
March 16, 2017
Last Update Date
March 16, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 E Church St
Blackwood, NJ 08012-3910
Zip
08012-3910
Phone Number
856-227-6575
Fax Number
856-374-9495
Blackwood, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
400 E Church St
Blackwood, NJ 08012-3910
City
Blackwood
State
NJ
Zip
08012-3910
Phone Number
856-227-6575
Fax Number
856-374-9495

License Information

License Number
26nj00706400
License State
NJ
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kathleen A O'Shea, APN?

The NPI number of Mrs. Kathleen A O'Shea, APN is 1407397920. It was assigned on March 16, 2017 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kathleen A O'Shea, APN?

Mrs. Kathleen A O'Shea, APN is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26nj00706400.

Where does Mrs. Kathleen A O'Shea, APN practice?

The practice location is 400 E Church St, Blackwood, NJ 08012-3910. The office can be reached at 856-227-6575 (phone) or 856-374-9495 (fax).

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 1407397920 directly on the NPPES registry website.

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