West-Buxton, Shannon E

West-Buxton, Shannon E is an individual health care provider with primary practice located at 15 Vreeland Ave , East Longmeadow MA 01028-1631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. West-Buxton, Shannon E can be contacted via phone (413) 787-2555.

Contact Information

Primary practice address
15 Vreeland Ave East Longmeadow MA 01028-1631
Phone: (413) 787-2555
Fax: (413) 787-9992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 169646 Massachusetts

Profile Details

NPI number 1407843709
LBN Legal business name West-Buxton, Shannon E
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2005
Last updated Dec 13th, 2011 - about 13 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 1407843709 NPPES
Massachusetts MEDICAID 0391981

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