Main, Shannon Marie

Main, Shannon Marie is an individual health care provider with primary practice located at 75 Sylvan St Bldg C , Danvers MA 01923-2763. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Main, Shannon Marie can be contacted via phone (978) 406-4164.

Contact Information

Primary practice address
75 Sylvan St Bldg C Danvers MA 01923-2763
Phone: (978) 406-4164
Fax: (978) 587-3220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 071196-21 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNPNE10000313 Massachusetts
Nursing Service Providers / Registered Nurse 163W00000X RN2298619 Massachusetts

Profile Details

NPI number 1538885686
LBN Legal business name Main, Shannon Marie
Credentials PMHNP, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2022
Last updated Mar 22nd, 2024 - about last year

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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