Active NPIIndividual provider

Marney B Shattuck, PA-C

Physician Assistant, Medical in Westborough, Massachusetts

NPI Number1568059004
Practice location
139 Turnpike RD, Westborough, MA 01581-2835
Fax
—
Last updated
May 14, 2024

Marney Blake Shattuck is a Physician Assistant, Medical based in Westborough, MA. Marney Blake Shattuck practices in Westborough, MA and has the professional credentials of PA-C. The NPI Number for Marney Blake Shattuck is 1568059004 and holds a License No. PA8569 (MA). The current practice location address for Marney Blake Shattuck is 139 Turnpike RD, Westborough, MA 01581-2835 and can be reached out via phone at 508-882-7300.

Provider Profile Details

NPI Number
1568059004
Provider Name
Marney Blake Shattuck
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
139 Turnpike RD, Westborough, MA 01581-2835
Phone Number
508-882-7300
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
December 30, 2020
Last Update Date
May 14, 2024
Certification Date
May 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
139 Turnpike RD
Westborough, MA 01581-2835
Zip
01581-2835
Phone Number
508-882-7300
Westborough, MA 01581Get directions →

Provider Business Mailing Address Details

Address
360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
City
Portsmouth
State
NH
Zip
03801-7105
Phone Number
603-410-6700
Fax Number
603-319-8308

License Information

License Number (1)
PA8569
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA8569
License State (2)
MA
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · 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 Marney B Shattuck, PA-C?

The NPI number of Marney B Shattuck, PA-C is 1568059004. It was assigned on December 30, 2020 and is currently active in the NPPES registry.

What is the specialty of Marney B Shattuck, PA-C?

Marney B Shattuck, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA8569.

Where does Marney B Shattuck, PA-C practice?

The practice location is 139 Turnpike RD, Westborough, MA 01581-2835. The office can be reached at 508-882-7300 (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 1568059004 directly on the NPPES registry website.

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