Individual
SHANA RAZVILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 OLD SOMERSET AVE, NORTH DIGHTON, MA 02764-1824
(508) 824-7557
Mailing address
600 OLD SOMERSET AVE, NORTH DIGHTON, MA 02764-1824
(508) 824-7557
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN269648
MA
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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