Individual
KAREN COURTNEY SHELLENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655
(774) 441-7615
(508) 856-4287
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2324819
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2926614
—
OH
Enumeration date
08/21/2008
Last updated
10/26/2020
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