Individual
SHANNON MARIE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 733-1431
(413) 732-1635
Mailing address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 733-1431
(413) 732-1635
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN1004311
MA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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