Individual
MS. SHANNON E WEST-BUXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
15 VREELAND AVE, EAST LONGMEADOW, MA 01028-1631
(413) 787-2555
(413) 787-9992
Mailing address
15 VREELAND AVE, EAST LONGMEADOW, MA 01028-1631
(413) 787-2555
(413) 787-9992
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
169646
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391981
—
MA
Enumeration date
10/02/2005
Last updated
12/13/2011
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