Active NPIIndividual provider

Shelly V Bazes, NP

Nurse Practitioner, Family in Chestnut Hill, Massachusetts

NPI Number1295889913
Practice location
824 Boylston St, Chestnut Hill, MA 02467-2508
Fax
—
Last updated
July 8, 2007

Shelly V. Bazes is a Nurse Practitioner, Family based in Chestnut Hill, MA. Shelly V. Bazes practices in Chestnut Hill, MA and has the professional credentials of NP. The NPI Number for Shelly V. Bazes is 1295889913 and holds a License No. 226825 (MA). The current practice location address for Shelly V. Bazes is 824 Boylston St, Chestnut Hill, MA 02467-2508 and can be reached out via phone at 617-732-9774.

Provider Profile Details

NPI Number
1295889913
Provider Name
Shelly V. Bazes
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
824 Boylston St, Chestnut Hill, MA 02467-2508
Phone Number
617-732-9774
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Ms. Shelly Vivian Bazes-Bard (Other Name)
Provider Enumeration Date
January 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
824 Boylston St
Chestnut Hill, MA 02467-2508
Zip
02467-2508
Phone Number
617-732-9774
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
Po Box 9142
Charlestown, MA 02129-9142
City
Charlestown
State
MA
Zip
02129-9142
Phone Number
617-724-0287
Fax Number
617-726-2894

License Information

License Number
226825
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

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 Shelly V Bazes, NP?

The NPI number of Shelly V Bazes, NP is 1295889913. It was assigned on January 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Shelly V Bazes, NP?

Shelly V Bazes, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 226825.

Where does Shelly V Bazes, NP practice?

The practice location is 824 Boylston St, Chestnut Hill, MA 02467-2508. The office can be reached at 617-732-9774 (phone).

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 1295889913 directly on the NPPES registry website.

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