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Individual

SHANNON WOOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
27 STONEWALL DR, NORTHAMPTON, MA 01060-1133
(413) 341-3092
Mailing address
27 STONEWALL DR, NORTHAMPTON, MA 01060-1133
(413) 341-3092

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN252827
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN252827
PEDIATRICS
MA
Enumeration date
10/29/2020
Last updated
10/29/2020
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