Individual
CAROL MCSHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
457 CALAVANT HILL RD, CHARLESTOWN, NH 03603
(603) 505-8120
Mailing address
457 CALAVANT HILL RD, CHARLESTOWN, NH 03603
(603) 505-8120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
055672-21
NH
163WC0400X
Case Management Registered Nurse
Primary
055672-21
NH
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
055672-21
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055672-21
NH RN LICENSE
NH
Enumeration date
09/23/2022
Last updated
09/23/2022
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