Shannon, Robin Sue

Shannon, Robin Sue is an sole proprietor health care provider with primary practice located at 420 Main St Ste 15 , Walpole MA 02081-3753. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shannon, Robin Sue can be contacted via phone (508) 660-1666.

Contact Information

Primary practice address
420 Main St Ste 15 Walpole MA 02081-3753
Phone: (508) 660-1666
Fax: (508) 660-1667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5006766 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5006766 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2326129 Massachusetts

Profile Details

NPI number 1518383223
LBN Legal business name Shannon, Robin Sue
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2014
Last updated Oct 10th, 2019 - about 5 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 1518383223 NPPES
North Carolina MEDICAID 1518383223
North Carolina MEDICAID NP4339

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