Individual
ELIZABETH G SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6021
Mailing address
150 WALPOLE ST, DOVER, MA 02030-1636
(508) 785-3437
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
192225
MA
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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