Active NPIIndividual provider

Shane R Nazzaro, NP

Nurse Practitioner in Framingham, Massachusetts

NPI Number1063154177
Practice location
463 Worcester RD Ste 206, Framingham, MA 01701-5354
Fax
508-598-9290
Last updated
December 13, 2023

Shane R Nazzaro is a Nurse Practitioner based in Framingham, MA. Shane R Nazzaro practices in Framingham, MA and has the professional credentials of NP. The NPI Number for Shane R Nazzaro is 1063154177 and holds a License No. RN2350448 (MA). The current practice location address for Shane R Nazzaro is 463 Worcester RD Ste 206, Framingham, MA 01701-5354 and can be reached out via phone at 508-598-9300 and via fax at 508-598-9290.

Provider Profile Details

NPI Number
1063154177
Provider Name
Shane R Nazzaro
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
463 Worcester RD Ste 206, Framingham, MA 01701-5354
Phone Number
508-598-9300
Fax Number
508-598-9290
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
April 9, 2022
Last Update Date
December 13, 2023
Certification Date
December 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
463 Worcester RD Ste 206
Framingham, MA 01701-5354
Zip
01701-5354
Phone Number
508-598-9300
Fax Number
508-598-9290
Framingham, MA 01701Get directions →

Provider Business Mailing Address Details

Address
171 Main St Ste 203B
Ashland, MA 01721-1187
City
Ashland
State
MA
Zip
01721-1187
Phone Number
508-881-3029
Fax Number
508-881-1752

License Information

License Number (1)
RN2350448
License State (1)
MA
Taxonomy (1)
Nurse Practitioner · 363L00000X · Primary
License Number (2)
2350448
License State (2)
MA
Taxonomy (2)
Registered Nurse, Medical-Surgical · 163WM0705X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shane R Nazzaro, NP?

The NPI number of Shane R Nazzaro, NP is 1063154177. It was assigned on April 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Shane R Nazzaro, NP?

Shane R Nazzaro, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2350448.

Where does Shane R Nazzaro, NP practice?

The practice location is 463 Worcester RD Ste 206, Framingham, MA 01701-5354. The office can be reached at 508-598-9300 (phone) or 508-598-9290 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063154177 directly on the NPPES registry website.

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