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SHELLEY PENNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1 PARK WAY, HAVERHILL, MA 01830-6278
(978) 521-3270
(978) 469-5320
Mailing address
955 MAIN ST, WINCHESTER, MA 01890-1961
(781) 779-4878

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
264644
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP5445
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/08/2006
Last updated
09/11/2019
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