Individual
SHAUNA HINES MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(978) 979-2409
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(978) 979-2409
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2308387
MA
363LA2200X
Adult Health Nurse Practitioner
RN2308387
MA
Other
Enumeration date
01/25/2021
Last updated
03/05/2021
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