Individual
SHANE MICHAEL YEOMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
110 FRANCIS ST STE B, BOSTON, MA 02215-5501
(617) 632-7246
(617) 632-0949
Mailing address
45 FAYWOOD AVE, EAST BOSTON, MA 02128-1021
(315) 368-7724
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2308099
MA
Other
Enumeration date
07/17/2023
Last updated
02/14/2024
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