Individual
MRS. MANDY SHENYIN BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
88 HOLMES ST, QUINCY, MA 02171-2431
(617) 317-3250
(617) 457-6600
Mailing address
88 HOLMES ST, QUINCY, MA 02171-2431
(617) 318-3250
(617) 457-6600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2274688
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN2274688
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008042209
—
CT
Enumeration date
09/04/2012
Last updated
11/19/2019
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