Individual
SHAUNEEN ANN VALLIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-1767
(508) 856-1780
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
152274
MA
363LA2100X
Acute Care Nurse Practitioner
RN152274
MA
Other
Enumeration date
11/28/2011
Last updated
11/16/2020
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