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Individual

DR. MARY BETH SHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC, CPN

Contact information

Practice address
1215 WILBRAHAM RD, SPRINGFIELD, MA 01119-2612
(413) 782-1211
(413) 796-2255
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
7150
CT
363LF0000X
Family Nurse Practitioner
Primary
RN2263064
MA
363LP2300X
Primary Care Nurse Practitioner
7150
CT

Other

Enumeration date
08/09/2017
Last updated
07/12/2023
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