Provider Demographics
NPI:1942271978
Name:GROSSMAN, SHEILA CAREY (FNP, APRN-BC)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:CAREY
Last Name:GROSSMAN
Suffix:
Gender:F
Credentials:FNP, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 PAWKANNAWKUT DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-5133
Mailing Address - Country:US
Mailing Address - Phone:508-394-4998
Mailing Address - Fax:203-254-4126
Practice Address - Street 1:300 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-3100
Practice Address - Country:US
Practice Address - Phone:860-297-2018
Practice Address - Fax:860-297-2020
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002232363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily