Provider Demographics
NPI:1538189667
Name:O'SHEA, MARY (RN)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:
Last Name:O'SHEA
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 1:1201 WALNUT ST
Mailing Address - Street 2:STE 800
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64106-2149
Mailing Address - Country:US
Mailing Address - Phone:816-701-3000
Mailing Address - Fax:
Practice Address - Street 1:1201 WALNUT ST
Practice Address - Street 2:STE 800
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64106-2149
Practice Address - Country:US
Practice Address - Phone:816-701-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL41202268163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory