Individual
MARY SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58 HAWTHORNE DR, BEDFORD, NH 03110-6912
(603) 622-8619
(603) 640-1228
Mailing address
58 HAWTHORNE DR, BEDFORD, NH 03110-6912
(603) 622-8619
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
062997-23
NH
163WP0200X
Pediatric Registered Nurse
231472
MA
Other
Enumeration date
01/11/2008
Last updated
01/12/2026
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