Ayala, Shannon

Ayala, Shannon is an individual health care provider with primary practice located at 155 Airport Rd , Fitchburg MA 01420-8142. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Ayala, Shannon can be contacted via phone (978) 343-6300.

Contact Information

Primary practice address
155 Airport Rd Fitchburg MA 01420-8142
Phone: (978) 343-6300
Fax: (978) 343-2803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LN93364 Massachusetts

Profile Details

NPI number 1366025421
LBN Legal business name Ayala, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2021
Last updated May 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366025421 NPPES
Massachusetts Other LN93364 LICENSED PRACTICAL NURSE

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