Individual
ROBIN SUE SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
420 MAIN ST STE 15, WALPOLE, MA 02081-3753
(508) 660-1666
(508) 660-1667
Mailing address
420 MAIN ST STE 15, WALPOLE, MA 02081-3753
(508) 660-1666
(508) 660-1667
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5006766
NC
363LF0000X
Family Nurse Practitioner
5006766
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2326129
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518383223
—
NC
05
—
NP4339
—
SC
Enumeration date
03/06/2014
Last updated
10/10/2019
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