Individual
THERESA SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKLINE PL STE 225, BROOKLINE, MA 02445-7294
(857) 307-4400
(857) 307-4414
Mailing address
1 BROOKLINE PL STE 225, BROOKLINE, MA 02445-7294
(857) 307-4400
(857) 307-4414
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2379864
MA
Other
Enumeration date
08/23/2024
Last updated
10/30/2024
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