Individual
MRS. SHANNAN DANAE FARRELL-MARCELLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
68A POTOMAC ST, BOSTON, MA 02132-2822
(619) 952-5122
Mailing address
68A POTOMAC ST, BOSTON, MA 02132-2822
(619) 952-5122
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN2348091
MA
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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