National Provider Identifier

Brian Shea, REGISTERED NURSE

Brian Shea, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of Registered Nurse in Tonawanda, NY and a listed phone number of (585) 615-5187.

NPI 1609020163Tonawanda, NYRegistered Nurse

Profile Overview

NPI
1609020163
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
November 11, 2008
Last Updated
November 11, 2008

Practice Location

  • 484 Braxmar RD
  • Tonawanda, NY 14150-8160

Phone: (585) 615-5187

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1609020163
Entity Type
Individual
Last Name
Shea
First Name
Brian
Name Prefix
Mr.
Credential
REGISTERED NURSE
Mailing Street Address
484 Braxmar RD
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-8160
Mailing Country
US
Mailing Phone
(585) 615-5187
Practice Street Address
484 Braxmar RD
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-8160
Practice Country
US
Practice Phone
(585) 615-5187
Enumeration Date
November 11, 2008
Last Updated
November 11, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)