Provider Demographics
NPI:1538391107
Name:KANE, SHEILA ANN (APRN,BC)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:ANN
Last Name:KANE
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 1:11 KINGSBURY WAY
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02675-1227
Mailing Address - Country:US
Mailing Address - Phone:508-375-0419
Mailing Address - Fax:
Practice Address - Street 1:11 KINGSBURY WAY
Practice Address - Street 2:
Practice Address - City:YARMOUTH PORT
Practice Address - State:MA
Practice Address - Zip Code:02675-1227
Practice Address - Country:US
Practice Address - Phone:508-375-0419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA115260363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily