Organization
COMPREHENSIVE WELLNESS CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN SHANNON FNP-C, PMHNP-BC (OWNER)
(617) 987-4004
Entity
Organization
Contact information
Practice address
867 BOYLSTON ST, STE 500, UNIT 483, BOSTON, MA 02116
(617) 987-4004
Mailing address
867 BOYLSTON ST, STE 500, UNIT 483, BOSTON, MA 02116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2326129
MA RN STATE LICENSURE
MA
Enumeration date
12/07/2021
Last updated
12/07/2021
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