Individual
SHANE C PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(508) 228-9053
Mailing address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(508) 228-9053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
252623
MA
363LF0000X
Family Nurse Practitioner
Primary
RN252623
MA
Other
Enumeration date
04/08/2006
Last updated
05/09/2025
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