Individual
SHAUNA L HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2259175
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094117A
—
MA
Enumeration date
09/04/2012
Last updated
12/18/2012
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