Marisa A Shea, MD
Student in an Organized Health Care Education/Training Program in Revere, Massachusetts
1912825217- Practice location
- 12 Dolphin Ave, Revere, MA 02151-4137
- Phone
- 978-496-4076
- Fax
- —
- Last updated
- July 6, 2026
Marisa Arline Shea is a Student in an Organized Health Care Education/Training Program based in Revere, MA. Marisa Arline Shea practices in Revere, MA and has the professional credentials of MD. The NPI Number for Marisa Arline Shea is 1912825217. The current practice location address for Marisa Arline Shea is 12 Dolphin Ave, Revere, MA 02151-4137 and can be reached out via phone at 978-496-4076.
Provider Profile Details
- NPI Number
- 1912825217
- Provider Name
- Marisa Arline Shea
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12 Dolphin Ave, Revere, MA 02151-4137
- Phone Number
- 978-496-4076
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 6, 2026
- Last Update Date
- July 6, 2026
- Certification Date
- July 7, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Dolphin Ave
Revere, MA 02151-4137 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-4137
- Phone Number
- 978-496-4076
Provider Business Mailing Address Details
- Address
- 12 Dolphin Ave
Revere, MA 02151-4137 - City
- Revere
- State
- MA
- Zip
- 02151-4137
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Marisa A Shea, MD?
The NPI number of Marisa A Shea, MD is 1912825217. It was assigned on July 6, 2026 and is currently active in the NPPES registry.
What is the specialty of Marisa A Shea, MD?
Marisa A Shea, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Marisa A Shea, MD practice?
The practice location is 12 Dolphin Ave, Revere, MA 02151-4137. The office can be reached at 978-496-4076 (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 1912825217 directly on the NPPES registry website.