Provider Demographics
NPI:1447148671
Name:GANEM, SHAHEEN NICOLE (RN)
Entity type:Individual
Prefix:
First Name:SHAHEEN
Middle Name:NICOLE
Last Name:GANEM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 GREENACRE DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1322
Mailing Address - Country:US
Mailing Address - Phone:272-268-5794
Mailing Address - Fax:
Practice Address - Street 1:6 GREENACRE DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1322
Practice Address - Country:US
Practice Address - Phone:272-268-5794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN78942163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & AdolescentGroup - Single Specialty