Doctor Name: | SHANNON MARIE FERREIRA |
NPI Number: | 1033446166 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP-BC |
License Number: | 261087 |
Business Practice Address: | 535 Faunce Corner Rd Dartmouth, MA - 027471242 |
Business Phone Number: | 5089963991 |
Business Fax Number: | |
Mailing Address: | 535 Faunce Corner Rd, DARTMOUTH |
State: | MA |
Postal Code: | 027471242 |
Phone Number: | 5089963991 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2009 |
NPI Last Update Date: | 11/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 261087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |