Tierney Rose Shea, PA-C
Physician Assistant in Mesa, AZ. Individual provider (NPI-1).
NPI number1952829582
StatusActive
Last updated in NPPESDec 12, 2023
Details
- NPI
- 1952829582
- Entity type
- Individual (NPI-1)
- Name
- Tierney Rose Shea
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 4, 2017
- Certification date
- Dec 12, 2023
- Last updated
- Dec 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 6813 | AZ | Yes |
| 363A00000X | Physician Assistant | PA2666 | NV |
Practice location
3048 E Baseline Rd Ste 120Mesa, AZ 85204-7288
Phone 480-505-3276
Mailing address
Po Box 35380Las Vegas, NV 89133-5380
Phone 702-877-5199
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All 472 Physician Assistant providers in Mesa · All 13,507 providers in Mesa
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