Active NPIIndividual provider

Ms. Shan M Stoffolano, MS, CPNP

Nurse Practitioner in Boston, Massachusetts

NPI Number1669692661
Practice location
55 Fruit St, Boston, MA 02114-2621
Fax
—
Last updated
January 23, 2026

Shan Marie Stoffolano is a Nurse Practitioner based in Boston, MA. Shan Marie Stoffolano practices in Boston, MA and has the professional credentials of MS, CPNP. The NPI Number for Shan Marie Stoffolano is 1669692661 and holds a License No. 235651-NP (MA). The current practice location address for Shan Marie Stoffolano is 55 Fruit St, Boston, MA 02114-2621 and can be reached out via phone at 781-674-2900.

Provider Profile Details

NPI Number
1669692661
Provider Name
Shan Marie Stoffolano
Credential
MS, CPNP
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA 02114-2621
Phone Number
781-674-2900
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
May 1, 2007
Last Update Date
January 23, 2026
Certification Date
January 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fruit St
Boston, MA 02114-2621
City
Boston
Zip
02114-2621
Phone Number
781-674-2900
Boston, MA 02114Get directions →

Provider Business Mailing Address Details

Address
62 Park St
Pepperell, MA 01463-1117
City
Pepperell
State
MA
Zip
01463-1117
Phone Number
978-433-0590

License Information

License Number (1)
235651-NP
License State (1)
MA
Taxonomy (1)
Nurse Practitioner · 363L00000X · Primary
License Number (2)
235651-NP
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Pediatrics · 363LP0200X

Legacy Identifiers

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

Other Nurse Practitioners near Boston, MA

View all Nurse Practitioners in Boston →

Frequently Asked Questions

What is the NPI number of Ms. Shan M Stoffolano, MS, CPNP?

The NPI number of Ms. Shan M Stoffolano, MS, CPNP is 1669692661. It was assigned on May 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Shan M Stoffolano, MS, CPNP?

Ms. Shan M Stoffolano, MS, CPNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 235651-NP.

Where does Ms. Shan M Stoffolano, MS, CPNP practice?

The practice location is 55 Fruit St, Boston, MA 02114-2621. The office can be reached at 781-674-2900 (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 1669692661 directly on the NPPES registry website.

Browse related providers