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Shanise Margot Perez
Psychiatric/Mental Health Nurse Practitioner in Southbridge, Massachusetts
NPI 1639652878

Shanise Margot Perez is a Psychiatric/Mental Health Nurse Practitioner based in Southbridge, MA and is specialized in Psychiatric/Mental Health. Shanise Margot Perez practices in Southbridge, MA. The NPI Number for Shanise Margot Perez is 1639652878 and holds a License No. RN2293487 (Massachusetts).

The current practice location address for Shanise Margot Perez is 29 Pine St, Southbridge, MA and can be reached out via phone at 508-765-9167.

Location: 29 Pine St, Southbridge, MA, 01550-1823
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639652878
Provider Name
Shanise Margot Perez
Credential
Provider Entity Type
Individual
Gender
Female
Address
29 Pine St, Southbridge, MA, 01550-1823
Phone Number
508-765-9167
Fax Number
Provider Enumeration Date
09/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
29 Pine St
City
Southbridge
State
Massachusetts
Zip
01550-1823
Phone Number
508-765-9167
Fax Number
person
Provider Business Mailing Address Details
Address
29 Pine St
City
Southbridge
State
Massachusetts
Zip
01550-1823
Phone Number
508-765-9167
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
RN2293487 (Massachusetts)
Definition
Definition to come...
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