Provider Demographics
NPI:1447297056
Name:O'SHEA, NOELLE ANNELIESE (APRN-BC)
Entity type:Individual
Prefix:MRS
First Name:NOELLE
Middle Name:ANNELIESE
Last Name:O'SHEA
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 SPYGLASS CT
Mailing Address - Street 2:
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-4700
Mailing Address - Country:US
Mailing Address - Phone:609-560-2483
Mailing Address - Fax:
Practice Address - Street 1:CHILDREN'S HOSPITAL OF PHILADELPHIA
Practice Address - Street 2:34TH AND CIVIC CENTER BLVD
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-9146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008007363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics