Individual
MS. BETH GOLDBERG SHAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
193 LOCUST ST, STE. 2, NORTHAMPTON, MA 01060-2066
(413) 584-8700
(413) 584-1714
Mailing address
193 LOCUST ST, STE. 2, NORTHAMPTON, MA 01060-2066
(413) 584-8700
(413) 584-1714
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
140547
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MG00241371
MASS CONTROLLED SUBSTANCE
MA
Enumeration date
08/17/2006
Last updated
03/15/2012
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