Individual
KATHRYN SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-3847
Mailing address
62 WASHINGTON ST, STONEHAM, MA 02180-1257
(978) 697-8344
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2285571
MA
Other
Enumeration date
07/25/2017
Last updated
06/07/2019
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