Individual
MRS. KAREN J SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Contact information
Practice address
63 DUNBOY ST, BRIGHTON, MA 02135-1737
(617) 513-5575
Mailing address
63 DUNBOY ST, BRIGHTON, MA 02135-1737
(617) 513-5575
(617) 254-1414
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
93017
MA
174400000X
Specialist
93017
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93017
ADULT PSYCHIATRIC CLINICAL NURSE SPECIALIST- BOARD CERTIFIED
MA
Enumeration date
06/21/2006
Last updated
06/18/2020
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