Active NPIIndividual provider

Dr. Mary B Shafer, DNP, FNP-BC, CPN

Nurse Practitioner, Family in Springfield, Massachusetts

NPI Number1699290718
Practice location
1215 Wilbraham RD, Springfield, MA 01119-2612
Fax
413-796-2255
Last updated
July 12, 2023

Mary Beth Shafer is a Nurse Practitioner, Family based in Springfield, MA. Mary Beth Shafer practices in Springfield, MA and has the professional credentials of DNP, FNP-BC, CPN. The NPI Number for Mary Beth Shafer is 1699290718 and holds a License No. 7150 (CT). The current practice location address for Mary Beth Shafer is 1215 Wilbraham RD, Springfield, MA 01119-2612 and can be reached out via phone at 413-782-1211 and via fax at 413-796-2255.

Provider Profile Details

NPI Number
1699290718
Provider Name
Mary Beth Shafer
Credential
DNP, FNP-BC, CPN
Provider Entity Type
Individual
Gender
Female
Address
1215 Wilbraham RD, Springfield, MA 01119-2612
Phone Number
413-782-1211
Fax Number
413-796-2255
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2017
Last Update Date
July 12, 2023
Certification Date
July 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1215 Wilbraham RD
Springfield, MA 01119-2612
Zip
01119-2612
Phone Number
413-782-1211
Fax Number
413-796-2255
Springfield, MA 01119Get directions →

Provider Business Mailing Address Details

Address
1290 Silas Deane Hwy
Hartford Healthcare-Cvo
Wethersfield, CT 06109-4337
City
Wethersfield
State
CT
Zip
06109-4337

License Information

License Number (1)
7150
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
7150
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Primary Care · 363LP2300X
License Number (3)
RN2263064
License State (3)
MA
Taxonomy (3)
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 Dr. Mary B Shafer, DNP, FNP-BC, CPN?

The NPI number of Dr. Mary B Shafer, DNP, FNP-BC, CPN is 1699290718. It was assigned on August 9, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Mary B Shafer, DNP, FNP-BC, CPN?

Dr. Mary B Shafer, DNP, FNP-BC, CPN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 7150.

Where does Dr. Mary B Shafer, DNP, FNP-BC, CPN practice?

The practice location is 1215 Wilbraham RD, Springfield, MA 01119-2612. The office can be reached at 413-782-1211 (phone) or 413-796-2255 (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 1699290718 directly on the NPPES registry website.

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