Individual
MS. SHANNON L AVERY-DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-6464
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN269120
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110101239A
—
MA
Enumeration date
09/17/2014
Last updated
01/06/2026
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