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Individual

MS. SHAN MARIE STOFFOLANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., C.P.N.P.

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(781) 674-2900
Mailing address
62 PARK ST, PEPPERELL, MA 01463-1117
(978) 433-0590

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
235651-NP
MA
363LP0200X
Pediatric Nurse Practitioner
235651-NP
MA

Other

Enumeration date
05/01/2007
Last updated
01/23/2026
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