SHEVONNE RENEE LINNANE


Address: 619 Adams St Apt 1, Boston, MA 02122-2569
Phone: 7036285139

SHEVONNE RENEE LINNANE (NPI# 1063059467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063059467
Entity Type Individual
Full Name SHEVONNE RENEE LINNANE
Other Name SHEVONNE RENEE BAINES
Credential NP
Practice Address 619 Adams St Apt 1
Boston
MA 02122-2569
Practice Telephone 7036285139
Mailing Telephone 7036285139
Enumeration Date 2019-12-04
Last Update Date 2019-12-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2019047493 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 619 ADAMS ST APT 1
City BOSTON
State MA
Zip Code 02122-2569

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City BOSTON
Zip Code 02122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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