Active NPIIndividual provider

Ms. Yuliya Shanley, NP

Nurse Practitioner, Family in Medford, Massachusetts

NPI Number1841534906
Practice location
4110 Mystic Valley Pkwy, Medford, MA 02155-6931
Fax
781-874-9275
Last updated
May 21, 2022

Yuliya Shanley is a Nurse Practitioner, Family based in Medford, MA. Yuliya Shanley practices in Medford, MA and has the professional credentials of NP. The NPI Number for Yuliya Shanley is 1841534906 and holds a License No. RN2270338 (MA). The current practice location address for Yuliya Shanley is 4110 Mystic Valley Pkwy, Medford, MA 02155-6931 and can be reached out via phone at 781-874-9399 and via fax at 781-874-9275.

Provider Profile Details

NPI Number
1841534906
Provider Name
Yuliya Shanley
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4110 Mystic Valley Pkwy, Medford, MA 02155-6931
Phone Number
781-874-9399
Fax Number
781-874-9275
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
November 15, 2012
Last Update Date
May 21, 2022
Certification Date
May 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
4110 Mystic Valley Pkwy
Medford, MA 02155-6931
Zip
02155-6931
Phone Number
781-874-9399
Fax Number
781-874-9275
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
4110 Mystic Valley Pkwy
Medford, MA 02155-6931
City
Medford
State
MA
Zip
02155-6931
Phone Number
781-874-9399
Fax Number
781-874-9275

License Information

License Number
RN2270338
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 Ms. Yuliya Shanley, NP?

The NPI number of Ms. Yuliya Shanley, NP is 1841534906. It was assigned on November 15, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Yuliya Shanley, NP?

Ms. Yuliya Shanley, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2270338.

Where does Ms. Yuliya Shanley, NP practice?

The practice location is 4110 Mystic Valley Pkwy, Medford, MA 02155-6931. The office can be reached at 781-874-9399 (phone) or 781-874-9275 (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 1841534906 directly on the NPPES registry website.

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