Scolaro, Shannon L

Scolaro, Shannon L is an individual health care provider with primary practice located at 32 Jyra Ln , North Easton MA 02356-2738. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Scolaro, Shannon L can be contacted via phone (508) 272-6014.

Contact Information

Primary practice address
32 Jyra Ln North Easton MA 02356-2738
Phone: (508) 272-6014
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 212661 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 212661 Massachusetts

Profile Details

NPI number 1891756037
LBN Legal business name Scolaro, Shannon L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Nov 5th, 2013 - about 12 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 1891756037 NPPES
Massachusetts MEDICAID 0391841
Massachusetts Other 39159
Massachusetts Other NP2812

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