Individual
SHANNON C FETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, RN
Contact information
Practice address
112 TURNPIKE RD STE 301, WESTBOROUGH, MA 01581-2831
(508) 366-1550
(508) 366-2815
Mailing address
171 MAIN ST STE 203B, ASHLAND, MA 01721-1187
(508) 881-3029
(508) 881-1752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2363714
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2363714
MA
Other
Enumeration date
07/12/2022
Last updated
05/05/2026
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