NPI 1295285278 · live from the CMS NPI Registry
Bridget Shea-Gander
Nurse Practitioner, Pediatrics in South Deerfield, MA. National Provider Identifier 1295285278, active.
NPI record
| NPI | 1295285278 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 29 Elm St, South Deerfield, MA 01373 |
| Practice phone | 413-665-9111 |
| Mailing address | 19 River Rd S, Putney, VT 05346 |
| Enumerated | October 13, 2016 |
| Last updated | March 15, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | CNP-03085 (NM) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 101.0134628 (VT) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | RN2372845 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.