Breaux, Mandy Shenyin
Breaux, Mandy Shenyin is an individual health care provider with primary practice located at 88 Holmes St , Quincy MA 02171-2431. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Breaux, Mandy Shenyin can be contacted via phone (617) 317-3250.Contact Information
Primary practice address
88 Holmes St
Quincy MA 02171-2431
Phone: (617) 317-3250
Fax: (617) 457-6600
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN2274688 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | RN2274688 | Massachusetts |
Profile Details
NPI number | 1568711760 |
---|---|
LBN Legal business name | Breaux, Mandy Shenyin |
Credentials | RN, NP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 4th, 2012 |
Last updated | Nov 19th, 2019 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568711760 | NPPES |
Connecticut | MEDICAID | 008042209 |
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