Individual
SHANNON ELIZABETH COVENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, NP-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-4121
Mailing address
4061 WASHINGTON ST APT 2, BOSTON, MA 02131-1771
(508) 439-3343
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2301042
MA
Other
Enumeration date
08/25/2023
Last updated
10/18/2023
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