Shane Derby in Boston - Registered Nurse

Shane Derby - NPI 1053509323

Shane Derby is a Registered Nurse in Boston, Massachusetts. Shane Derby practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Shane Derby is 1053509323. The last update date is 2007-10-11.

Shane Derby's current location address is 729 Mass Ave, Boston, Massachusetts. You can contact this provider via phone number 8576541000 and fax number 8576541100. The mailing address for Shane Derby is 729 Mass Ave, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Shane Derby
Address 729 Mass Ave, Boston, Massachusetts
Phone Number 8576541000
Fax Number 8576541100
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1053509323
Provider Enumeration Date 2007-10-11
Last Updated Date 2007-10-11

Provider Mailing Address Detail

Address 729 Mass Ave
City Boston
State Massachusetts (MA)
Post Code 21182318
Phone Number 8576541000
Fax Number 8576541100

Provider's Primary Taxonomy Detail

Speciality Registered Nurse
Taxonomy 163W00000X
Licence No 263329
Definition:
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of

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FAQs about Shane Derby

What is the unique 10-digit identifier code issued to Shane Derby by the Centers for Medicare & Medicaid Services?

The Shane Derby has been assigned the NPI (National Provider Identifier) 1053509323 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Shane Derby is located?

The Shane Derby is situated at the following address: 729 Mass Ave, Boston, MA, 21182318.

What is Shane Derby's area of expertise and its corresponding taxonomy classification?

The Shane Derby's field of specialization is Registered Nurse, and it falls under the taxonomy code 163W00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1053509323 to Shane Derby?

The Centers for Medicare & Medicaid Services assigned the 1053509323 to Shane Derby on 2007-10-11.

As of what date was the information regarding Shane Derby, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shane Derby, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-11.

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