Individual
LAURA ANN SHOOK-BLANDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-8515
(508) 334-6490
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
RN2268732
MA
363LA2100X
Acute Care Nurse Practitioner
RN2268732
MA
363LF0000X
Family Nurse Practitioner
RN2268732
MA
Other
Enumeration date
07/02/2012
Last updated
11/05/2020
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