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Individual

MS. SHANNON L. TERRIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
333 LONGWOOD AVE FL 6, BOSTON, MA 02115-5711
(617) 355-8136
(617) 730-0194
Mailing address
333 LONGWOOD AVE FL 6, BOSTON, MA 02115-5711
(617) 355-8136
(617) 730-0194

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2264131
MA
363LF0000X
Family Nurse Practitioner
RN2264131
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042297845
MULTI-PLAN
05
110091592A
MA
01
1861773103
FALLON
01
SS0116
BCBSMA
MA
Enumeration date
08/31/2011
Last updated
01/31/2019
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