| Organization Name: | SHELBURNE FAMILY PRACTICE |
| NPI Number: | 1730514399 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNA C FOSTER (FNP) |
| Mailing Address: | 1000 Mohawk Trl Shelburne Falls |
| State: | MA US |
| Postal Code: | 013709705 |
| Phone Number: | 4136256021 |
| Fax Number: | 4136256073 |
| NPI Enumeration Date: | 09/13/2013 |
| NPI Last Update Date: | 09/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 51476 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |