Individual
MARIANNE SHAKESPEARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
67 UNION ST., SUITE 407, NATICK, MA 01760
(508) 651-9503
(508) 881-1752
Mailing address
67 UNION ST., SUITE 407, NATICK, MA 01760
(508) 651-9503
(508) 370-8597
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
122171
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0342700
—
MA
Enumeration date
10/27/2006
Last updated
05/04/2017
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