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Individual

MARK SHAUGHNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
15 PLEASANT HILL RD STE 204, SCARBOROUGH, ME 04074-9688
(207) 560-3770
(207) 560-3128
Mailing address
15 PLEASANT HILL RD STE 204, SCARBOROUGH, ME 04074-9688
(207) 560-3770
(207) 560-3128

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
51968
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP81591
ME

Other

Enumeration date
04/14/2006
Last updated
01/23/2023
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