Individual
LILLIAN SHORTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 WAIT ST APT B3, BOSTON, MA 02120-3252
(713) 344-3244
Mailing address
10 WAIT ST APT B3, BOSTON, MA 02120-3252
(713) 344-3244
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2390818
MA
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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