Individual
SHELLY V. BAZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
824 BOYLSTON ST, CHESTNUT HILL, MA 02467-2508
(617) 732-9774
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226825
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP4989
BCBS
MA
Enumeration date
01/22/2007
Last updated
07/08/2007
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