Individual provider · NPI-1

Shea Barr, APRN

Nurse Practitioner, Family · Palm Coast, FL

NPI number1487367785
StatusActive
Last updated in NPPESJan 2, 2023

Details

NPI
1487367785
Entity type
Individual (NPI-1)
Name
Shea Barr
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 2, 2023
Certification date
Dec 19, 2022
Last updated
Jan 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family11023670FLYes

Other names

  • Shea Fowler (Former Name)

Practice location

1270 Palm Coast Pkwy Nw
Palm Coast, FL 32137-4738

Phone 386-225-4631

Mailing address

6134 Del Mar Dr
Port Orange, FL 32127-6744

Phone 386-882-8777

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