Individual
SHANNON A BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3030
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3030
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704378030
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
RN10016113
MA
367500000X
Certified Registered Nurse Anesthetist
RN607796
PA
Other
Enumeration date
11/15/2012
Last updated
01/08/2026
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