Individual
MISS SHANNON ELIZABETH HOULIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
54 COURT ST, TAUNTON, MA 02780-3201
(508) 821-2500
Mailing address
54 COURT ST, TAUNTON, MA 02780-3201
(508) 821-2500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2303950
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2303950
MA
Other
Enumeration date
03/03/2020
Last updated
12/02/2021
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