Individual
PAULA M SHONAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
79 SAYLES ST, SOUTHBRIDGE, MA 01550-1729
(508) 764-6041
(508) 764-6318
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
(508) 764-2432
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN213992
MA
363LA2200X
Adult Health Nurse Practitioner
213992
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110080360A
—
MA
Enumeration date
05/07/2008
Last updated
06/01/2022
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