Provider Demographics
NPI:1538259825
Name:SHEA, ERIKA C (CRNP)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:C
Last Name:SHEA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 MARKET STREET
Mailing Address - Street 2:LM 500 WEST TOWER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2100
Mailing Address - Country:US
Mailing Address - Phone:215-985-2595
Mailing Address - Fax:
Practice Address - Street 1:412 W LEHIGH AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19133-3148
Practice Address - Country:US
Practice Address - Phone:215-765-2272
Practice Address - Fax:215-426-5123
Is Sole Proprietor?:No
Enumeration Date:2006-10-15
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP008206363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30066990OtherKEYSTONE MERCY
42448OtherUNIVERSITY HEALTHPLAN
1452893OtherCIGNA
PA1538259825OtherHEALTH PARTNERS
2565975OtherUNITED HEALTHCARE
60020564OtherHORIZON NJ HEALTH
010006972OtherAMERICHOICE
PA1025162600001Medicaid
3K6507OtherHEALTHNET
P3546319OtherOXFORD
PA30066990OtherKEYSTONE MERCY
Q34486Medicare UPIN