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Individual

MS. M. SHEILA PRENDEVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
116 COURT ST STE 1, PLYMOUTH, MA 02360-8710
(087) 471-3185
(508) 747-1410
Mailing address
116 COURT ST, STE 1, PLYMOUTH, MA 02360-8710
(508) 477-1318
(508) 747-1410

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
MP06906831
MA
364SF0001X
Family Health Clinical Nurse Specialist
260795
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260795
LICENSE
MA
Enumeration date
09/11/2007
Last updated
09/14/2020
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