Ms. Shauntelle Malcolm, RN
Nurse Practitioner, Psych/Mental Health in Mattapan, Massachusetts
1225468804- Practice location
- 1575 Blue Hill Ave, Mattapan, MA 02126-2122
- Phone
- 617-296-0061
- Fax
- 617-296-5408
- Last updated
- August 25, 2022
Shauntelle Malcolm is a Nurse Practitioner, Psych/Mental Health based in Mattapan, MA. Shauntelle Malcolm practices in Mattapan, MA and has the professional credentials of RN. The NPI Number for Shauntelle Malcolm is 1225468804 and holds a License No. RN2278372 (MA). The current practice location address for Shauntelle Malcolm is 1575 Blue Hill Ave, Mattapan, MA 02126-2122 and can be reached out via phone at 617-296-0061 and via fax at 617-296-5408.
Provider Profile Details
- NPI Number
- 1225468804
- Provider Name
- Shauntelle Malcolm
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1575 Blue Hill Ave, Mattapan, MA 02126-2122
- Phone Number
- 617-296-0061
- Fax Number
- 617-296-5408
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 19, 2013
- Last Update Date
- August 25, 2022
- Certification Date
- August 25, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1575 Blue Hill Ave
Mattapan, MA 02126-2122 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2122
- Phone Number
- 617-296-0061
- Fax Number
- 617-296-5408
Provider Business Mailing Address Details
- Address
- 1575 Blue Hill Ave
Mattapan, MA 02126-2122 - City
- Mattapan
- State
- MA
- Zip
- 02126-2122
- Phone Number
- 617-296-0061
- Fax Number
- 617-296-5408
License Information
- License Number (1)
- RN2278372
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- RN2278372
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ms. Shauntelle Malcolm, RN?
The NPI number of Ms. Shauntelle Malcolm, RN is 1225468804. It was assigned on November 19, 2013 and is currently active in the NPPES registry.
What is the specialty of Ms. Shauntelle Malcolm, RN?
Ms. Shauntelle Malcolm, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2278372.
Where does Ms. Shauntelle Malcolm, RN practice?
The practice location is 1575 Blue Hill Ave, Mattapan, MA 02126-2122. The office can be reached at 617-296-0061 (phone) or 617-296-5408 (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 1225468804 directly on the NPPES registry website.