Individual
MRS. LISA MARIE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
30 TAUNTON GRN STE 5, TAUNTON, MA 02780-3243
(774) 406-2897
Mailing address
789 BRUSH HILL RD, MILTON, MA 02186-1206
(617) 548-9178
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2303506
MA
Other
Enumeration date
07/22/2019
Last updated
05/08/2025
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