Individual
KAYDEAN S SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 774-6090
(617) 770-3749
Mailing address
64 MCEACHRON DR, STOUGHTON, MA 02072-3586
(508) 801-2637
Taxonomy
Speciality
Code
Description
License number
State
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
Primary
MS7633832
MA
Other
Enumeration date
07/14/2021
Last updated
08/02/2023
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